Reiesha D Graham, M.D. PHD
Individual provider Active NPI Obstetrics & Gynecology Physician · Milford, DE
NPI 1699017152 · NPPES record last updated Jun 21, 2022
Key facts
- NPI
- 1699017152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- C10024711 (DE)
- Practice address
- 101 Wellness Way Ste 300
Milford, DE 19963-4366 - Phone
- (302) 424-6511
- Fax
- (302) 424-6513
- NPI assigned
- Mar 22, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200716000440 | MD | Practitioner - Obstetrics/Gynecology | 4385900398 | Reassigns benefits to 1 organization |
| I20220606002032 | DE | Practitioner - Obstetrics/Gynecology | 4385900398 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C10024711 | DE | MD | Obstetrics & Gynecology Physician |
| 25MB10182800 | NJ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc | Current |
Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current |
Accepting new patients | |
| DHP of Delaware, Inc. | Obstetrics & Gynecology | Current |
Accepting new patients |
| Bayhealth Medical Center, Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Bayhealth Medical Center, Inc | Current |
Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| OB Hospitalist Services Delaware PA | Obstetrics & Gynecology | Current |
Accepting new patients |
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Luminis Health Medical Group, LLC | Current |
Accepting new patients | |
| Tidalhealth Nanticoke, Inc | Past | Accepting new patients |
Locations
640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688
640 S State St
Dover, DE 19901
Phone (302) 744-4700
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
101 Wellness Way
Ste 300
Milford, DE 19963
Phone (302) 393-5009
18383 Hudson Rd
Ste B
Milton, DE 19968
Phone (302) 725-3499
801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091
1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300
401 Purdy St
Ste 102
Easton, MD 21601
Phone (410) 505-8948
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MB10182800 | NJ | |
| Obstetrics & Gynecology Physician | 207V00000X | C10024711 | DE | Yes |
Addresses
Primary practice location
101 Wellness Way Ste 300
Milford, DE 19963-4366
Mailing address
640 S. State Street
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 480-1688
Other names
- Reiesha D Robbins
Other providers in Milford, DE
- Melissa Gonzalez
- Anirudha Goparaju
- Jayla Gorrell
- Shalini Gough
- Nikki Rain Graden
- Glenn E Graybeal
- Judith Graybeal
- Diamond Greathouse
- Green Dermatology LLC
- Kizzie Green
All providers in Milford, DE · Obstetrics & Gynecology Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.