Individual provider Active NPI

Jordan Mackay Graff, MD

  • Retina Specialist (Ophthalmology) Physician
  • Phoenix, AZ
National Provider Identifier
1952487829
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
41796 Issued in AZ
Practice address
4800 N 22ND St Ste 120
Phoenix, AZ 85016-4962
Phone
(602) 955-1000
Fax
(602) 508-4830
NPI assigned
Oct 31, 2006
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 41796 AZ
Retina Specialist (Ophthalmology) Physician 207WX0107X 41796 AZ Primary

Addresses

Primary practice location

4800 N 22ND St Ste 120
Phoenix, AZ 85016-4962

Mailing address

4800 N 22ND St Ste 210
Phoenix, AZ 85016-4963
Phone (602) 955-1000

Other practice location 1

270 S Candy Ln
Cottonwood, AZ 86326-4164
Phone (480) 892-8400

Other identifiers 2

IdentifierTypeStateIssuer
55970OtherIAWELLMARK BCBS
425185MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20090623000726 AZ Practitioner - Ophthalmology 8325131865 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Irvine, California College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4800 N 22ND St
Suite 120
Phoenix, AZ 85016-4962
Phone (602) 955-1000

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41796AZMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD Ophthalmology Current Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Jul 1, 2009 Accepting new patients
Southwestern Eye Center LTD CurrentSince Jan 8, 2022 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology CurrentSince Jul 1, 2009 Accepting new patients
Southwestern Eye Center, LTD CurrentSince Jan 8, 2022 Accepting new patients
Retinal Consultants of Arizona LTD Ophthalmology CurrentSince Dec 1, 2025 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC PastSince Apr 6, 2021 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Ophthalmology Past Accepting new patients
Eyenet Triage, PLC Ophthalmology Past Accepting new patients

Locations

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

1712 E Boston St
Gilbert, AZ 85295

520 S Hill St
Globe, AZ 85501
Phone (928) 425-8989

1626 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (817) 995-2500

2110 Airway Ave
Kingman, AZ 86409
Phone (928) 681-1800

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

1101 E Missouri Ave
Phoenix, AZ 85014
Phone (602) 222-2221

18325 N Allied Way
Ste 100
Phoenix, AZ 85054
Phone (602) 467-4966

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

4800 N 22nd St
Ste 100
Phoenix, AZ 85016

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488

3192 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-1234

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

95 Soldiers Pass Rd
Ste A2
Sedona, AZ 86336
Phone (928) 203-1177

1610 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 537-3937

14820 N Del Webb Blvd
Sun City, AZ 85351

9425 W Bell Rd
Sun City, AZ 85351
Phone (602) 956-9866

14239 W Bell Rd
Ste 216
Surprise, AZ 85374

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

275 W 28th St
Yuma, AZ 85364
Phone (928) 329-5011

Interoperability endpoints

  • Direct secure messaging: jordan.graff@direct.avp.nextgenshare.com

Organizations & group practices 10

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1952487829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164963",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164962",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 S Candy Ln",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863264164",
            "country_code": "US",
            "telephone_number": "480-892-8400",
            "fax_number": "602-508-4830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "JORDAN",
        "middle_name": "MACKAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "41796",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "41796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "55970",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425185",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.