Active NPI
Douglas E Graham, PA
- Medical Physician Assistant
- Honolulu, HI
National Provider Identifier
1326092073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- AMD-181
- Practice address
- 1778 Ala Moana Blvd
Ul-5
Honolulu, HI 96815-1605 - Phone
- (808) 955-5553
- Fax
- (808) 955-5575
- NPI assigned
- May 19, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | AMD-181 | HI | Primary |
Addresses
Primary practice location
1778 Ala Moana Blvd
Ul-5
Honolulu, HI 96815-1605
Mailing address
1860 Ala Moana Blvd
Apartment 709
Honolulu, HI 96815-1632
Phone (808) 955-5553
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000242867 | Other | HI | BC/BS OF HAWAII |
| 05715502 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 181 | HI | MD | Behavioral Analyst |
| AMD-181 | HI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas Graham Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1326092073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 ALA MOANA BLVD",
"address_2": "APARTMENT 709",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968151632",
"telephone_number": "808-955-5553",
"fax_number": "808-955-5575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1778 ALA MOANA BLVD",
"address_2": "UL-5",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968151605",
"telephone_number": "808-955-5553",
"fax_number": "808-955-5575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "DOUGLAS",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "HI",
"license": "AMD-181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF HAWAII",
"identifier": "0000242867",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05715502",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.