Active NPI
Jack Graham
- Emergency Medicine Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.146959
- Practice address
- 9500 Euclid Ave
Cleveland, OH 44195-0001 - Phone
- (216) 445-4500
- NPI assigned
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 23856 | NH | |
| Emergency Medicine Physician | 207P00000X | 35.146959 | OH | Primary |
Addresses
Primary practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
9500 Euclid Ave
Department of Emergency Services
Cleveland, OH 44195-0001
Other practice location 1
8401 Market St
Boardman, OH 44512-6725
Phone (330) 729-2929
Other practice location 2
10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 442-1270
Hospital & facility affiliations
- Cleveland Clinic
- MH St Joseph Warren Hospital
- MH St Elizabeth Youngstown Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.99 of 100
- Quality
- 97.69
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.8 of 100
- Quality
- 79.54
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.13 of 100
- Quality
- 78.7
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.66 of 100
- Quality
- 53.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.13 of 100
- Quality
- 79.67
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.146959 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 4M Emergency Systems Tod LLC | Emergency Medicine | Current | Accepting new patients |
| 4M Emergency Systems LLC | Emergency Medicine | Current | Accepting new patients |
| Mahoning Valley Emergency Specialists LLC | Emergency Medicine | Current | Accepting new patients |
| Mves Austintown LLC | Emergency Medicine | Current | Accepting new patients |
| Mves Boardman LLC | Emergency Medicine | Current | Accepting new patients |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Mercy Health Youngstown LLC | Past | Accepting new patients |
Locations
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
667 Eastland Ave SE
Warren, OH 44484
Phone (330) 841-2378
1296 Tod Pl NW
Ste 200
Warren, OH 44485
Phone (330) 306-5040
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
8401 Market St
Youngstown, OH 44512
Phone (330) 729-2929
6252 Mahoning Ave
Youngstown, OH 44515
Phone (330) 792-7418
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Emergency Medicine Physician
- Warren, OH
- NPI 1932152584
-
- Emergency Medicine Physician
- Warren, OH
- NPI 1902859556
-
- Emergency Medicine Physician
- Youngstown, OH
- NPI 1003869652
-
- Emergency Medicine Physician
- Austintown, OH
- NPI 1972555944
-
- Emergency Medicine Physician
- Youngstown, OH
- NPI 1205888237
-
- Durable Medical Equipment & Medical Supplies
- Youngstown, OH
- NPI 1245180785
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Youngstown, OH
- NPI 1548296106
-
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766361600000",
"number": "1306406863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"address_2": "DEPARTMENT OF EMERGENCY SERVICES",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441950001",
"telephone_number": "216-445-4500"
}
],
"practiceLocations": [
{
"address_1": "8401 Market St",
"address_purpose": "LOCATION",
"city": "Boardman",
"state": "OH",
"postal_code": "445126725",
"country_code": "US",
"telephone_number": "330-729-2929",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10 Alice Peck Day Dr",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "NH",
"postal_code": "037662900",
"country_code": "US",
"telephone_number": "603-448-3121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAHAM",
"first_name": "JACK",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NH",
"license": "23856",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.146959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.