Individual provider Active NPI

Graham P Chriss, MPAS, PA-C

  • Physician Assistant
  • Lakewood Ranch, FL
National Provider Identifier
1790349322
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113254 Issued in FL
Practice address
8926 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6417
Phone
(941) 907-0222
Fax
(941) 907-0493
NPI assigned
Apr 29, 2019
Last updated
Dec 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113254 FL Primary

Addresses

Primary practice location

8926 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6417

Mailing address

5210 Webb Rd
Tampa, FL 33615-4518
Phone (813) 882-9986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200804000209 FL Practitioner - Physician Assistant 3870918154 Reassigns benefits to 1 organization
I20240913003735 WA Practitioner - Physician Assistant 3870918154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strother Dermatology and Laser Treatment Center PLLCGroup PAC ID 1052660875, 8 clinicians

Practice addresses (Care Compare)

1231 116TH Ave NE
Suite 725
Bellevue, WA 98004-3804
Phone (425) 899-4144

12911 120TH Ave NE
Suite G100
Kirkland, WA 98034-3027
Phone (425) 899-4144

17000 140TH Ave NE
Unit 301
Woodinville, WA 98072-6928
Phone (425) 899-4144

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9113254FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sam Naficy, MD, PS, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gchriss@directaddress.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1790349322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 WEBB RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154518",
            "telephone_number": "813-882-9986",
            "fax_number": "813-341-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 77TH TER E UNIT 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026417",
            "telephone_number": "941-907-0222",
            "fax_number": "941-907-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISS",
        "first_name": "GRAHAM",
        "middle_name": "P",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-29",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.