Individual provider Active NPI

Garth Nigel Graham, MD

  • Cardiovascular Disease Physician
  • Kansas City, MO
National Provider Identifier
1427252584
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2016019591 Issued in MO
Practice address
4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-3201
Phone
(816) 931-1883
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 219052 MA
Internal Medicine Physician 207R00000X ME110458 FL
Interventional Cardiology Physician 207RI0011X 2016019591 MO
Cardiovascular Disease Physician 207RC0000X 2016019591 MO Primary

Addresses

Primary practice location

4330 Wornall Rd
Suite 2000
Kansas City, MO 64111-3201

Mailing address

PO Box 505008
Saint Louis, MO 63150-5008
Phone (816) 502-7000

Other identifiers 1

IdentifierTypeStateIssuer
004002000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20151014000959 CT Practitioner - Internal Medicine 5991891749 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Hospitalists of New England PC Internal Medicine CurrentSince Sep 21, 2015 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Ipc Hospitalists of New England, P.C. Internal Medicine CurrentSince Sep 21, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

819 Worcester St
Ste 3
Springfield, MA 01151
Phone (413) 543-6820

Organizations & group practices 5

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1427252584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505008",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505008",
            "telephone_number": "816-502-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 WORNALL RD",
            "address_2": "SUITE 2000",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641113201",
            "telephone_number": "816-931-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "GARTH",
        "middle_name": "NIGEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "219052",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME110458",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MO",
            "license": "2016019591",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "2016019591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004002000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.