Individual provider Active NPI

Andre Dean Graham, M.D.

  • Surgery Physician
  • Hillsboro, TX
National Provider Identifier
1376525253
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M5731 Issued in TX
Practice address
117 Jane LN
Hillsboro, TX 76645-2673
Phone
(682) 224-3748
Fax
(682) 841-0039
NPI assigned
Nov 16, 2005
Last updated
Apr 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 228186 NY
Surgery Physician 208600000X M5731 TX Primary

Addresses

Primary practice location

117 Jane LN
Hillsboro, TX 76645-2673

Mailing address

800 8TH Ave Ste 306
Fort Worth, TX 76104-2602
Phone (682) 224-3748

Other practice location 1

514 S Bonham St Ste B
Mexia, TX 76667-3664
Phone (682) 224-3748

Other practice location 2

2700 W Pleasant Run Rd Ste 370
Lancaster, TX 75146-1078
Phone (682) 224-3748

Other practice location 3

2203 W Lampasas St Ste 218
Ennis, TX 75119-5668
Phone (682) 224-3748

Other practice location 4

2302 Lone Star Rd Ste 160
Professional 1
Mansfield, TX 76063-8750
Phone (682) 224-3748

Other practice location 5

400 Hospital Dr Ste 104
Corsicana, TX 75110-2489
Phone (682) 224-3748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070727000488 TX Practitioner - General Surgery 1658472139 Reassigns benefits to 2 organizations
I20190507002973 OK Practitioner - General Surgery 1658472139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Surgical Specialists PLLCGroup PAC ID 8921364100, 32 clinicians

Practice addresses (Care Compare)

9 Medical Pkwy
Suite 102
Dallas, TX 75234-7852
Phone (469) 825-4855

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux22
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
228186NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Physician Services PA Surgery CurrentSince Apr 1, 2019 Accepting new patients
A G Surgical Surgery Current Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince May 2, 2019 Accepting new patients
Andre Graham MD PLLC Surgery Current Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Healthtexas Provider Network - Waxahachie Surgical Specialist, LLP Surgery Past Accepting new patients

Locations

731 12th Ave NW
Ste 100
Ardmore, OK 73401
Phone (580) 223-3216

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

Interoperability endpoints

  • Direct secure messaging: agraha42@yourcarecommunity.org
  • Direct secure messaging: andre.graham@ntss.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1376525253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 306",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042602",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 JANE LN",
            "city": "HILLSBORO",
            "state": "TX",
            "postal_code": "766452673",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 S Bonham St Ste B",
            "address_purpose": "LOCATION",
            "city": "Mexia",
            "state": "TX",
            "postal_code": "766673664",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 W Pleasant Run Rd Ste 370",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "TX",
            "postal_code": "751461078",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2203 W Lampasas St Ste 218",
            "address_purpose": "LOCATION",
            "city": "Ennis",
            "state": "TX",
            "postal_code": "751195668",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2302 Lone Star Rd Ste 160",
            "address_2": "Professional 1",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760638750",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Hospital Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Corsicana",
            "state": "TX",
            "postal_code": "751102489",
            "country_code": "US",
            "telephone_number": "682-224-3748",
            "fax_number": "682-841-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ANDRE",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "228186",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M5731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, TX

Sources for this page

Verify at the official NPI Registry.