Andre Dean Graham, M.D.

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

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

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)

Hospital & facility affiliations

• Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
• Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309
• Medical City Arlington Hospital, Arlington, TX, CCN 450675
• Crescent Medical Center Lancaster Hospital, Lancaster, TX, CCN 670090
• Hill Regional Hospital Hospital, Hillsboro, TX, CCN 451395

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• North Texas Surgical Specialists PLLC

  • Surgery Physician
  • Fort Worth, TX
  • NPI 1831625292
  Medicare reassignment Care Compare group
• Arlington Physician Services PA

  • Obstetrics & Gynecology Physician
  • Mansfield, TX
  • NPI 1093144610

  Surgery

  Medicare reassignment NPD
• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment NPD
• A G Surgical

  • Surgery Physician
  • Dallas, TX
  • NPI 1093280703
  NPD Authorized official
• Andre Graham MD PLLC

  • Surgery Physician
  • Dallas, TX
  • NPI 1548730997
  NPD Authorized official
• Healthtexas Provider Network

  • Family Medicine Physician
  • Plano, TX
  • NPI 1003811639
  NPD (past)
• Healthtexas Provider Network - Waxahachie Surgical Specialist, LLP

  • Surgery Physician
  • Waxahachie, TX
  • NPI 1871598458
  NPD (past)

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

• Columbia Medical Center of Arlington Subsidiary LP

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1134172406
  Care Compare affiliation
• Lancaster Regional Hospital, LP

  • General Acute Care Hospital
  • Lancaster, TX
  • NPI 1851632616
  Care Compare affiliation
• Nhci of Hillsboro Inc

  • Critical Access Hospital
  • Hillsboro, TX
  • NPI 1992285282
  Care Compare affiliation
• Texas Health Hospital Mansfield

  • General Acute Care Hospital
  • Mansfield, TX
  • NPI 1356960132
  Care Compare affiliation
• Texas Health Huguley, Inc

  • Psychiatric Hospital Unit
  • Burleson, TX
  • NPI 1518355759
  Care Compare affiliation
• Texas Health Huguley, Inc.

  • General Acute Care Hospital
  • Burleson, TX
  • NPI 1033120423
  Care Compare affiliation
• Texas Health Huguley, Inc.

  • Psychiatric Hospital Unit
  • Burleson, TX
  • NPI 1548273881
  Care Compare affiliation

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BR115",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185966202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185966203",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Travis Fuller, ATC
• Ryan R Gadi, RPH, MS, DPHARM
• Gabriela Garcia
• Maria Garcia
• GDMK Corporation
• Jeannetta Louise Green, LMT
• Guardian Health Systems Hillsboro
• Heart of Texas Community Health Center, Inc.
• Heart of Texas Community Health Center, Inc.
• Hannah Heimbaugh

• Surgery Physician in Hillsboro, TX
• Providers in Hillsboro, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.

Verify at the official NPI Registry.