Individual provider Active NPI

Limor Graham, M.D.

  • Anesthesiology Physician
  • Newton, MA
National Provider Identifier
1669597472
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
227124 Issued in MA
Practice address
197 Walnut St
#2
Newton, MA 02460-1624
Phone
(617) 669-4930
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 227124 MA Primary

Addresses

Primary practice location

197 Walnut St
#2
Newton, MA 02460-1624

Mailing address

197 Walnut St
#2
Newton, MA 02460-1624
Phone (617) 669-4930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070612000804 MA Practitioner - AnesthesiologyPractitioner - Pain Management 8325146434 Reassigns benefits to 1 organization
I20160901000309 NY Practitioner - Anesthesiology 8325146434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Boston University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JJM Medical Services PCGroup PAC ID 6800950312, 36 clinicians

Practice addresses (Care Compare)

5 Johnson Rd
Latham, NY 12110-3096
Phone (518) 782-1181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281825NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
JJM Medical Services, PC Anesthesiology CurrentSince Jan 3, 2011 Accepting new patients
Massachusetts Anesthesia Corporation Past Accepting new patients
West Suburban Eye Surgery Center LLC Past Accepting new patients

Locations

900 Cummings Ctr
Ste 122U
Beverly, MA 01915
Phone (978) 922-4670

321 Billerica Rd
Ste 104
Chelmsford, MA 01824

1440 Main St
Waltham, MA 02451
Phone (781) 891-9300

1440 Main St
Ste 201
Waltham, MA 02451
Phone (781) 891-6377

5 Johnson Rd
Latham, NY 12110
Phone (518) 767-0869

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1669597472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 WALNUT ST",
            "address_2": "#2",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601624",
            "telephone_number": "617-669-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 WALNUT ST",
            "address_2": "#2",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024601624",
            "telephone_number": "617-669-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LIMOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "227124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.