Individual provider Active NPI

Ana Benitez-Graham, M.D.

  • Dermatology Physician
  • Mebane, NC
National Provider Identifier
1619197845
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2006-01011 Issued in NC
Practice address
3940 Arrowhead Blvd Ste 210
Mebane, NC 27302-7637
Phone
(919) 304-5900
NPI assigned
Apr 30, 2007
Last updated
Oct 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2006-01011 NC Primary

Addresses

Primary practice location

3940 Arrowhead Blvd Ste 210
Mebane, NC 27302-7637

Mailing address

3940 Arrowhead Blvd Ste 210
Mebane, NC 27302-7637
Phone (919) 304-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20080902000141 NC Practitioner - Dermatology 8921174707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Duke University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

202 Fieldale Rd
Mebane, NC 27302-9177
Phone (919) 304-5900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision94
Removal of tissue24
Removal of skin lesions848
Removal or shaving of skin growth85
Skin biopsy154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2006-01011NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Graham Dermatology PA CurrentSince Mar 31, 2010 Accepting new patients

Locations

202 Fieldale Rd
Mebane, NC 27302
Phone (919) 304-5900

3940 Arrowhead Blvd
Ste 210
Mebane, NC 27302
Phone (336) 226-8000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1619197845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 ARROWHEAD BLVD STE 210",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027637",
            "telephone_number": "919-304-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 ARROWHEAD BLVD STE 210",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027637",
            "telephone_number": "919-304-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ-GRAHAM",
        "first_name": "ANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-30",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2006-01011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

Verify at the official NPI Registry.