Individual provider Active NPI

Ian T McGraw, MD

  • Plastic and Reconstructive Surgery Physician
  • Murray, UT
National Provider Identifier
1770013690
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
14031532-1205 Issued in UT
Practice address
5169 S Cottonwood St
Murray, UT 84107-6767
Phone
(801) 507-1650
NPI assigned
Jun 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD481365 PA
Student in an Organized Health Care Education/Training Program 390200000X
Plastic and Reconstructive Surgery Physician 2086S0122X 14031532-1205 UT Primary

Addresses

Primary practice location

5169 S Cottonwood St
Murray, UT 84107-6767

Mailing address

3601 5TH Ave # 6B
Pittsburgh, PA 15213-3403

Other practice location 1

3601 5th Ave # 6B
Pittsburgh, PA 15213-3403
Phone (412) 648-9670

Other practice location 2

2401 S 31st St # MS
Temple, TX 76508-0001
Phone (254) 724-0630

Other practice location 3

2401 S 31st St
# Ms 01E443
Temple, TX 76508
Phone (254) 724-0630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, UT2 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
I20230726003373 PA Practitioner - Plastic and Reconstructive Surgery 5890065304 Reassigns benefits to 1 organization
I20240816000773 UT Practitioner - Plastic and Reconstructive Surgery 5890065304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Texas a & M University System, HSC, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

5169 S Cottonwood St
Suite 420
Murray, UT 84107-6769
Phone (801) 507-1650

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD481365PAMDPlastic Surgery Physician
14031532-1205UTMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Ihc Health Services Inc CurrentSince Sep 15, 2024 Accepting new patients
University of Pittsburgh Physicians Plastic and Reconstructive Surgery CurrentSince Aug 1, 2023 Accepting new patients
Ihc Health Services, Inc. CurrentSince Sep 15, 2024 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 1, 2023 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

3601 5th Ave
#6B
Pittsburgh, PA 15213
Phone (412) 383-8986

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

5169 S Cottonwood St
Ste 420
Salt Lake City, UT 84107
Phone (801) 507-1650

5169 S Cottonwood St
Salt Lake City, UT 84107
Phone (801) 507-1600

Organizations & group practices 7

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 1

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1770013690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 5TH AVE # 6B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5169 S COTTONWOOD ST",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841076767",
            "telephone_number": "801-507-1650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 5th Ave # 6B",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152133403",
            "country_code": "US",
            "telephone_number": "412-648-9670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 S 31st St # MS",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-0630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 S 31st St",
            "address_2": "# MS 01E443",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "76508",
            "country_code": "US",
            "telephone_number": "254-724-0630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "IAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-13",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD481365",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "UT",
            "license": "14031532-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.