Active NPI
Garth Nigel Graham, MD
- Cardiovascular Disease Physician
- Kansas City, MO
National Provider Identifier
1427252584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2016019591
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004002000 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipc Hospitalists of New England PC | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Associates LLC | Internal Medicine | Current | Accepting new patients |
| Ipc Hospitalists of New England, P.C. | Internal Medicine | Current | 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.
-
- Hospitalist Physician
- Baton Rouge, LA
- NPI 1093758781
CT, Internal Medicine
-
- Pediatric Cardiology Physician
- Springfield, MA
- NPI 1821401761
CT, Internal Medicine
-
- Internal Medicine Physician
- Springfield, MA
- NPI 1801330287
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.