Individual provider Active NPI

Timur Tafari Graham, M.D.

  • Pulmonary Disease Physician
  • Fall River, MA
National Provider Identifier
1497933683
Registry record updated Jun 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
273387 Issued in MA
Practice address
203 Plymouth Ave Ste 702
Fall River, MA 02721-4300
Phone
(508) 679-4239
Fax
(508) 679-3702
NPI assigned
Feb 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 273387 MA Primary

Addresses

Primary practice location

203 Plymouth Ave Ste 702
Fall River, MA 02721-4300

Mailing address

203 Plymouth Ave Ste 702
Fall River, MA 02721-4300
Phone (508) 679-4239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180301001103 MA Practitioner - Pulmonary Disease 4284780693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Care, PCGroup PAC ID 2567356017, 222 clinicians

Practice addresses (Care Compare)

203 Plymouth Ave
Suite 701
Fall River, MA 02721-4300
Phone (508) 676-3292

Hospital & facility affiliations

  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020
  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Care, PC CurrentSince Sep 1, 2022 Accepting new patients
Prima Care, PC CurrentSince Sep 1, 2022 Accepting new patients
Lifespan Physician Group of Massachusetts Inc Internal Medicine PastSince Jun 11, 2023 Accepting new patients
Incare Tufts PLLC Internal Medicine PastSince Mar 1, 2022 Accepting new patients

Locations

277 Pleasant St
Fl 4
Fall River, MA 02721
Phone 50867632921244

67 Slades Ferry Ave
Somerset, MA 02726
Phone (508) 673-9400

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.

Hospital & facility affiliations 2

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": "1202601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685836800000",
    "number": "1497933683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PLYMOUTH AVE STE 702",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027214300",
            "telephone_number": "508-679-4239",
            "fax_number": "508-679-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PLYMOUTH AVE STE 702",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027214300",
            "telephone_number": "508-679-4239",
            "fax_number": "508-679-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TIMUR",
        "middle_name": "TAFARI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-10",
        "last_updated": "2023-06-04",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "273387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.