Active NPI
Noel M Graham, M.D.
- Pediatrics Physician
- Lees Summit, MO
National Provider Identifier
1457323149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2001011231
- Practice address
- 241 NW McNary CT
Lees Summit, MO 64086-4011 - Phone
- (816) 347-0064
- Fax
- (816) 347-0593
- NPI assigned
- Feb 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2001011231 | MO | Primary |
Addresses
Primary practice location
241 NW McNary CT
Lees Summit, MO 64086-4011
Mailing address
241 NW McNary CT
Lees Summit, MO 64086-4011
Phone (816) 347-0064
Other names 1
- Noel Michael Graham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001011231 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James K. McEntire, D.O., P.C. | Pediatrics | Current | Accepting new patients |
| Kansas City Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
| Children'S Mercy-Preferred Pediatrics | Pediatrics | Past | Accepting new patients |
| Saint Lukes East Hospital | Past | Accepting new patients |
Locations
241 NW McNary Ct
Lees Summit, MO 64086
Phone (816) 347-0064
Interoperability endpoints
- https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
- https://api.platform.athenahealth.com/5617/brand/1/csg/1/fhir/r4
- noelgraham@ppllc.allscriptsdirect.net
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Lees Summit, MO
- NPI 1285168989
-
- Pediatric Adolescent Medicine Physician
- Kansas City, MO
- NPI 1619078912
Pediatrics
-
- General Acute Care Hospital
- Lees Summit, MO
- NPI 1053353490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1457323149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 NW MCNARY CT",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640864011",
"telephone_number": "816-347-0064",
"fax_number": "816-347-0593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 NW MCNARY CT",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640864011",
"telephone_number": "816-347-0064",
"fax_number": "816-347-0593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "NOEL",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2001011231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NOEL",
"last_name": "GRAHAM",
"middle_name": "MICHAEL",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.