Individual provider Active NPI

Kathryn Graves Graham, D.O.

  • Internal Medicine Physician
  • Du Bois, PA
National Provider Identifier
1730525577
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS019426 Issued in PA
Practice address
135 Midway Dr Ste B
Du Bois, PA 15801-3857
Phone
(814) 371-2348
Fax
(814) 372-6089
NPI assigned
May 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS019426 PA Primary

Addresses

Primary practice location

135 Midway Dr Ste B
Du Bois, PA 15801-3857

Mailing address

135 Midway Dr Ste B
Du Bois, PA 15801-3857
Phone (814) 371-2348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180925000042 PA Practitioner - Internal MedicinePractitioner - Hospitalist 7012218241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trucare Internal Medicine and Infectious Diseases PLLCGroup PAC ID 8426357914, 5 clinicians

Practice addresses (Care Compare)

135 Midway Dr
Suite B
Du Bois, PA 15801-3857
Phone 81437123485

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
75.58
Improvement activities
40
Cost
72.74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue44
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS019426PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trucare Internal Medicine & Infectious Diseases PLLC Internal Medicine CurrentSince Jan 6, 2025 Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

135 Midway Dr
#B
Dubois, PA 15801
Phone (412) 788-8007

403 S Allen St
Ste 209
State College, PA 16801
Phone (814) 371-2348

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

Organizations & group practices 2

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 32

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1730525577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MIDWAY DR STE B",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013857",
            "telephone_number": "814-371-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MIDWAY DR STE B",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158013857",
            "telephone_number": "814-371-2348",
            "fax_number": "814-372-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KATHRYN",
        "middle_name": "GRAVES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS019426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.