Alan Daryl Graham, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

24150 Issued in KY

Practice address

200 City Hill Dr
London, KY 40741-3038

Phone

(606) 878-6633

Fax

(606) 878-5883

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

19.78 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

65.93

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alan.graham@xasg.ssdirect.aprima.com

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.

• Alan D Graham

  • Surgery Physician
  • London, KY
  • NPI 1073711339

  Multi-Specialty

  NPD Authorized official
• Nancy V Morris MD PLLC

  • Internal Medicine Physician
  • London, KY
  • NPI 1528024734

  Multi-Specialty

  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64241508",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Heart Corporation
• Grace Community Health Center Inc
• Grace Community Health Center Inc
• Grace Community Health Center, Inc.
• Grace Community Health Center, Inc.
• Ashley N Grant, PHARMD
• Grateful Dental PLLC
• Carl Brent Gray, NP
• Joshua Morris Gray, DMD
• Lori Gray, APRN

• Surgery Physician in London, KY
• Providers in London, KY by specialty
• Surgery Physician in Kentucky

• 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.

Verify at the official NPI Registry.