Individual provider Active NPI

David Graham, APRN, AG-ACNP-BC

  • Acute Care Nurse Practitioner
  • Akron, OH
National Provider Identifier
1457739310
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0029551 Issued in OH
Practice address
200 E Market St
Akron, OH 44308-2015
Phone
(330) 761-7500
NPI assigned
May 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 357112 OH
Acute Care Nurse Practitioner 363LA2100X 0029551 OH Primary

Addresses

Primary practice location

200 E Market St
Akron, OH 44308-2015

Mailing address

200 E Market St
Akron, OH 44308-2015
Phone (330) 761-7500

Other identifiers 1

IdentifierTypeStateIssuer
2901131MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923001784 OH Practitioner - Nurse Practitioner 0143627786 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospitalist LLCGroup PAC ID 5496648123, 50 clinicians
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

200 E Market St
Akron, OH 44308-2015
Phone (440) 743-3000

525 E Market St
Akron, OH 44304-1619

95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

Merit-based Incentive Payment System (MIPS)

Final score
77.56 of 100Reported as group
Quality
64.78
Improvement activities
40
Cost
70.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
357112OHMDAddiction (Substance Use Disorder) Registered Nurse
0029551OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Jan 13, 2025 Accepting new patients
Summa Physicians LLC CurrentSince Jan 13, 2025 Accepting new patients
Community Hospitalist, LLC Acute Care CurrentSince Sep 1, 2021 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Hni Medical Services of Ohio, LLC CurrentSince Dec 6, 2021 Accepting new patients
Summa Physicians LLC Past Accepting new patients
Summa Physicians LLC PastSince Jul 21, 2024 Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

200 E Market St
Akron, OH 44308
Phone (330) 375-4112

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

95 Arch St
Fl 3
Akron, OH 44304
Phone (330) 376-7000

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1457739310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443082015",
            "telephone_number": "330-761-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443082015",
            "telephone_number": "330-761-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DAVID",
        "credential": "APRN, AG-ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "357112",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "0029551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2901131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.