Active NPI
Alan Daryl Graham, MD
- Surgery Physician
- London, KY
National Provider Identifier
1598876328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 24150
- Practice address
- 200 City Hill Dr
London, KY 40741-3038 - Phone
- (606) 878-6633
- Fax
- (606) 878-5883
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA249 | KY | |
| Surgery Physician | 208600000X | 24150 | KY | Primary |
Addresses
Primary practice location
200 City Hill Dr
London, KY 40741-3038
Mailing address
PO Box 1067
London, KY 40743-1067
Phone (606) 878-6633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110615000080 | KY | Practitioner - General Surgery | 0143237073 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 19.78 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 65.93
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24150 | KY | MD | Surgery Physician |
| PA249 | KY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alan D Graham | Multi-Specialty | Current | Accepting new patients |
| Nancy V Morris MD PLLC | Multi-Specialty | Past | Accepting new patients |
Locations
200 City Hill Dr
London, KY 40741
Phone (606) 878-6633
200 City Hill Dr
Ste 201
London, KY 40741
Phone (606) 878-6633
Interoperability endpoints
- alan.graham@xasg.ssdirect.aprima.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Laurel Medical Associates
- Internal Medicine Physician
- London, KY
- NPI 1528024734
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1598876328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1067",
"city": "LONDON",
"state": "KY",
"postal_code": "407431067",
"telephone_number": "606-878-6633",
"fax_number": "606-878-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CITY HILL DR",
"city": "LONDON",
"state": "KY",
"postal_code": "407413038",
"telephone_number": "606-878-6633",
"fax_number": "606-878-5883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "ALAN",
"middle_name": "DARYL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "KY",
"license": "PA249",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": "KY",
"license": "24150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
- Good Heart Corporation
- Grace Community Health Center Inc (Grace Health Pharmacy-Levi Center)
- Grace Community Health Center Inc (Grace Health Pharmacy-Mountain View)
- Grace Community Health Center, Inc. (Grace Health Levi Center Clinic)
- Grace Community Health Center, Inc. (Grace Health Mountain View Clinic)
- Ashley N Grant, PHARMD
- Grateful Dental PLLC
- Carl Brent Gray, NP
- Joshua Morris Gray, DMD
- Lori Gray, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.