Individual provider Active NPI

Stuart Malcolm Graham II, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1336109461
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME37835 Issued in FL
Practice address
11211 Prosperity Farms Rd
Suite D129 - Oakpark
Palm Beach Gardens, FL 33410-3446
Phone
(561) 775-9288
Fax
(561) 624-4460
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X ME37835 FL
Forensic Pathology Physician 207ZF0201X ME37835 FL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME37835 FL Primary

Addresses

Primary practice location

11211 Prosperity Farms Rd
Suite D129 - Oakpark
Palm Beach Gardens, FL 33410-3446

Mailing address

11211 Prosperity Farms Rd
Suite D129 - Oakpark
Palm Beach Gardens, FL 33410-3446
Phone (561) 775-9288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2021 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME37835FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stuart M. Graham Jr MD PL Anatomic Pathology & Clinical Pathology 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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1336109461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD",
            "address_2": "SUITE D129 - OAKPARK",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103446",
            "telephone_number": "561-775-9288",
            "fax_number": "561-828-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 PROSPERITY FARMS RD",
            "address_2": "SUITE D129 - OAKPARK",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103446",
            "telephone_number": "561-775-9288",
            "fax_number": "561-624-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "STUART",
        "middle_name": "MALCOLM",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "FL",
            "license": "ME37835",
            "primary": false
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "FL",
            "license": "ME37835",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME37835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.