Individual provider Active NPI

James Michael Graham, M.D.

  • Obstetrics & Gynecology Physician
  • Louisville, KY
National Provider Identifier
1356346167
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
22664 Issued in KY
Practice address
4130 Dutchmans LN
Ste 400
Louisville, KY 40207-4711
Phone
(502) 897-0697
Fax
(502) 897-0658
NPI assigned
Jun 17, 2005
Last updated
Jan 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 22664 KY Primary

Addresses

Primary practice location

4130 Dutchmans LN
Ste 400
Louisville, KY 40207-4711

Mailing address

PO Box 776351
Chicago, IL 60677-6635
Phone (502) 588-9490

Other identifiers 6

IdentifierTypeStateIssuer
0700049OtherKYUNITED HEALTHCARE
50036612OtherKYPASSPORT - WS
160032459OtherKYRAILROAD
610673930AOtherKYHUMANA
1519000000044478OtherKYBLUE CROSS/BLUE SHIELD
64226640MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jgraham12583@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100723000803 KY Practitioner - Obstetrics/Gynecology 7012812563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22664KYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Current Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2012 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2012 Accepting new patients
Women's Care Physicians of Louisville Current Accepting new patients

Locations

4130 Dutchmans Ln
Ste 400
Louisville, KY 40207
Phone (502) 897-0697

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1356346167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776635",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 DUTCHMANS LN",
            "address_2": "STE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074711",
            "telephone_number": "502-897-0697",
            "fax_number": "502-897-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "22664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0700049",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT - WS",
            "identifier": "50036612",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "160032459",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "610673930A",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1519000000044478",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64226640",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgraham12583@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "4130 Dutchmans Ln",
            "address_2": "Ste 400",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "4130 Dutchmans Ln",
            "address_2": "Ste 400",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.