Individual provider Active NPI

Jeremiah Andrew Graff, DPM

  • Foot & Ankle Surgery Podiatrist
  • Plano, TX
National Provider Identifier
1689831950
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1864 Issued in TX
Practice address
2633 Dallas Pkwy
Ste 100
Plano, TX 75093-4703
Phone
(972) 403-7733
Fax
(972) 403-7744
NPI assigned
May 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1864 TX Primary

Addresses

Primary practice location

2633 Dallas Pkwy
Ste 100
Plano, TX 75093-4703

Mailing address

2633 Dallas Pkwy
Ste 100
Plano, TX 75093-4703
Phone (972) 403-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081205000184 TX Practitioner - Podiatry 8426119769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeremiah Graff DPM P aGroup PAC ID 4789745027, 7 clinicians

Practice addresses (Care Compare)

2633 Dallas Pkwy
Suite 100
Plano, TX 75093-4715
Phone (972) 403-7733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
72.14
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal823
Removal of tissue2043
Removal of skin lesions30
Removal of nail tissue1367
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1864TXMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeremiah Graff DPM P a Foot & Ankle Surgery CurrentSince Oct 29, 2008 Accepting new patients
Willowbend Medical Services PLLC CurrentSince Nov 6, 2023 Accepting new patients
Gleneagles Surgery Center, LLC PastSince Jul 17, 2020 Accepting new patients
J. Graff Surgery Center Inc PastSince Jul 12, 2013 Accepting new patients
Jeremiah Graff DPM P a Foot & Ankle Surgery Past Accepting new patients

Locations

456 State Highway 121
Unit 140
Coppell, TX 75019
Phone (972) 403-7784

6901 Snider Plz
Ste 150
Dallas, TX 75205
Phone (214) 389-6475

2633 Dallas Pkwy
Ste 100
Plano, TX 75093
Phone (469) 562-1992

2633 Dallas Pkwy
Ste 102
Plano, TX 75093

2633 Dallas Pkwy
Ste 104
Plano, TX 75093

Interoperability endpoints

  • Direct secure messaging: jgraff@yourcarecommunity.org
  • Direct secure messaging: jeremiah.graff.1@33413.direct.athenahealth.com

Organizations & group practices 5

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1689831950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 DALLAS PKWY",
            "address_2": "STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934703",
            "telephone_number": "972-403-7733",
            "fax_number": "972-403-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 DALLAS PKWY",
            "address_2": "STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934703",
            "telephone_number": "972-403-7733",
            "fax_number": "972-403-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "JEREMIAH",
        "middle_name": "ANDREW",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.