Individual provider Active NPI

Mark Leo Graham II, M.D.

  • Hematology & Oncology Physician
  • Cary, NC
National Provider Identifier
1760481667
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
39812 Issued in NC
Practice address
210 Ashville Ave Ste 440
Cary, NC 27518-6600
Phone
(919) 350-8585
NPI assigned
Jul 21, 2005
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 39812 NC
Hematology & Oncology Physician 207RH0003X 39812 NC Primary

Addresses

Primary practice location

210 Ashville Ave Ste 440
Cary, NC 27518-6600

Mailing address

PO Box 603949
Charlotte, NC 28260-3949

Other identifiers 2

IdentifierTypeStateIssuer
1760481667MedicaidNC
89138AHMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040225001119 NC Practitioner - Hematology/Oncology 6305732348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Mayo Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

210 Ashville Ave
Cary, NC 27518-6600
Phone (919) 350-2800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39812NCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Sep 30, 2022 Accepting new patients
Wakemed Specialists Group, LLC Internal Medicine CurrentSince Sep 30, 2022 Accepting new patients
American Oncology Partners PA Hematology & Oncology CurrentSince Apr 1, 2020 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Wake Radiology Diagnostic Imaging Inc. Past Accepting new patients
Wakemed PastSince Nov 13, 2022 Accepting new patients

Locations

9160 Forum Corporate Pkwy
Ste 350
Fort Myers, FL 33905
Phone (239) 785-3200

551 Brevard Rd
Asheville, NC 28806
Phone (828) 212-7021

210 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460

210 Ashville Ave
Ste 440
Cary, NC 27518
Phone (919) 233-8585

300 Ashville Ave
Ste 180
Cary, NC 27518
Phone (919) 233-5338

300 Ashville Ave
Ste 310
Cary, NC 27518
Phone (919) 233-8585

10010 Falls of Neuse Rd
Ste 202
Raleigh, NC 27614
Phone (919) 235-6454

23 Sunnybrook Rd
Ste 220
Raleigh, NC 27610
Phone (919) 350-1269

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1760481667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603949",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ASHVILLE AVE STE 440",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186600",
            "telephone_number": "919-350-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MARK",
        "middle_name": "LEO",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-11-09",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "39812",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "39812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760481667",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89138AH",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.