Individual provider Active NPI

Reiesha D Graham, M.D. PHD

  • Obstetrics & Gynecology Physician
  • Milford, DE
National Provider Identifier
1699017152
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C10024711 Issued in 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
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB10182800 NJ
Obstetrics & Gynecology Physician 207V00000X C10024711 DE Primary

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 1

  • Reiesha D Robbins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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
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

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

State licenses

LicenseStateTypeSpecialty
C10024711DEMDObstetrics & Gynecology Physician
25MB10182800NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc. CurrentSince Jun 10, 2023 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Bayhealth Medical Center, Inc Obstetrics & Gynecology CurrentSince Jul 17, 2022 Accepting new patients
Bayhealth Medical Center, Inc. Current Accepting new patients
DHP of Delaware, Inc. Obstetrics & Gynecology CurrentSince Nov 1, 2024 Accepting new patients
OB Hospitalist Services Delaware PA Obstetrics & Gynecology CurrentSince Mar 1, 2023 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jul 17, 2022 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 2, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 2, 2020 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jun 10, 2023 Accepting new patients
Tidalhealth Nanticoke, Inc Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

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

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

401 Purdy St
Ste 102
Easton, MD 21601
Phone (410) 505-8948

Organizations & group practices 11

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": "1363910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1699017152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE STREET",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-480-1688",
            "fax_number": "302-480-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WELLNESS WAY STE 300",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199634366",
            "telephone_number": "302-424-6511",
            "fax_number": "302-424-6513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "REIESHA",
        "middle_name": "D",
        "credential": "M.D. PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-22",
        "last_updated": "2022-06-21",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB10182800",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C10024711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REIESHA",
            "last_name": "ROBBINS",
            "middle_name": "D",
            "credential": "MD PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.