Larry A. Graham, MD
Individual provider Active NPI Psychiatry Physician · Cincinnati, OH
NPI 1780784173 · NPPES record last updated Jul 26, 2017
Key facts
- NPI
- 1780784173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 35058952 (OH)
- Practice address
- 551 Cincinnati-Batavia PK
Cincinnati, OH 45244 - Phone
- (513) 752-1555
- Fax
- (513) 753-2144
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Louisville School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Ohio Office of Budget and Management State Accounting
Practice addresses (Care Compare)
1601 W Broad St
Columbus, OH 43222-1087
Phone (614) 272-0509
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- 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 |
|---|---|---|---|---|
| I20031210000008 | OH | Practitioner - Psychiatry | 1850297938 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35058952 | OH | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ohio Office of Budget and Management State Accounting | Current |
Accepting new patients | |
| Southwest Ohio Developmental Center | Current |
Accepting new patients | |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Psychiatry | Current |
Accepting new patients |
| Mercy Health Physicians Cincinnati, LLC | Psychiatry | Current |
Accepting new patients |
| Mercy Health Physicians Cincinnati LLC | Current |
Accepting new patients | |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current |
Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients |
Locations
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
4399 E Bauman Ln
Batavia, OH 45103
Phone (513) 732-9200
4600 McAuley Pl
#5047
Blue Ash, OH 45242
Phone (513) 981-4684
796 Old State Route 74
Cincinnati, OH 45245
Phone (513) 636-6000
7500 State Rd
Ste 3310
Cincinnati, OH 45255
Phone (513) 232-6471
2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500
30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930
30 E Broad St
Rm 1301
Columbus, OH 43215
1601 W Broad St
Columbus, OH 43222
Phone (614) 272-0509
30 E Broad St
Rm 132
Columbus, OH 43215
201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 35058952 | OH | |
| Psychiatry Physician | 2084P0800X | 35058952 | OH | Yes |
Addresses
Primary practice location
551 Cincinnati-Batavia PK
Cincinnati, OH 45244
Mailing address
3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 752-1555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0839052 | Medicaid | OH |
Other providers in Cincinnati, OH
- Dylan Graham
- Jarvis Graham
- Kahleb Graham
- Kaitlyn Ludwig Graham
- Lainey Graham
- Lucinda Graham
- Lynell Jeanne Graham
- Roberta Graham
- Sandra Jean Graham
- Sarah Graham
All providers in Cincinnati, OH · Psychiatry Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2017. 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.