Individual provider Active NPI

Noel M Graham, M.D.

  • Pediatrics Physician
  • Lees Summit, MO
National Provider Identifier
1457323149
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2001011231 Issued in MO
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
2001011231MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4
  • FHIR API: https://api.platform.athenahealth.com/5617/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.