Donald Graham, MD
Individual provider Active NPI Surgery Physician · Sioux Falls, SD
NPI 1730136656 · NPPES record last updated Mar 31, 2022
Key facts
- NPI
- 1730136656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 2293 (SD)
- Practice address
- 1508 W 22ND St
Ste 101
Sioux Falls, SD 57105-1508 - Phone
- (605) 328-3840
- Fax
- (605) 328-3841
- NPI assigned
- May 27, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.53 of 100
- Quality
- 80.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- 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 |
|---|---|---|---|---|
| I20051214000443 | SD | Practitioner - General Surgery | 0143133678 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2293 | SD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients |
Locations
300 S Byron Blvd
Chamberlain, SD 57325
Phone (605) 234-5511
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 33072 | MN | |
| Surgery Physician | 208600000X | 2293 | SD | Yes |
Addresses
Primary practice location
1508 W 22ND St
Ste 101
Sioux Falls, SD 57105-1508
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dgraham4984@direct.sanfordhealth.org |
Other providers in Sioux Falls, SD
- Robert E Grady Jr.
- Mark Graeber
- Holly Graf
- Wendy Jo Graff
- Amy Lynn Graham
- Kristi J Graham
- Kyra Jae Graham
- Matthew Graham
- Abigail Ann Gramlick-Mueller
- Michael Gramlick
All providers in Sioux Falls, SD · Surgery Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.