Individual provider Active NPI

Adam Graeber, MD

  • Diagnostic Radiology Physician
  • Jbsa Ft Sam Houston, TX
National Provider Identifier
1730547787
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
286226 Issued in MA
Practice address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone
(210) 916-3808
NPI assigned
Feb 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036178073 IL
General Practice Physician 208D00000X 0101263002 VA
Diagnostic Radiology Physician 2085R0202X 286226 MA Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone (210) 916-4141

Other practice location 1

1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 539-8588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, TX, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210616001687 MA Practitioner - Diagnostic Radiology 2668872474 Reassigns benefits to 4 organizations
I20260128002742 TX Practitioner - Diagnostic Radiology 2668872474 Reassigns benefits to 2 organizations
I20260304000545 IL Practitioner - Diagnostic Radiology 2668872474 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601

3719 Coggeshall LN
San Antonio, TX 78257-5079
Phone (281) 870-4592

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000

5467 Statesman LN
Frisco, TX 75034-3626
Phone (309) 671-8282

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036178073ILMDDiagnostic Radiology Physician
0101263002VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Regional Health Center CurrentSince Feb 1, 2026 Accepting new patients
Crawford Hospital District CurrentSince Jan 22, 2026 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Jan 12, 2026 Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
Hampshire Pathologists, Inc. Current Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Jan 3, 2022 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Crawford Hospital District CurrentSince Jan 22, 2026 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Feb 1, 2026 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Feb 1, 2026 Accepting new patients
Cooley Dickinson Hospital Inc Current Accepting new patients
The General Hospital Corporation General Practice CurrentSince Jul 1, 2021 Accepting new patients
Cooley Dickinson Hospital Inc CurrentSince Jan 10, 2022 Accepting new patients
Mass General Brigham Medical Group Western Massachusetts Inc Past Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology Past Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

602 S 42nd St
Ste B
Mount Vernon, IL 62864
Phone (618) 899-3278

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

12 College Hwy
Southampton, MA 01073
Phone (413) 527-1105

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 11

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": "1454630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1730547787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "JBSA FT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-3808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Wilford Hall Loop Bldg 4554",
            "address_purpose": "LOCATION",
            "city": "Jbsa Lackland",
            "state": "TX",
            "postal_code": "782365638",
            "country_code": "US",
            "telephone_number": "210-539-8588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAEBER",
        "first_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-05",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036178073",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101263002",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "286226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa Ft Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.