Sean K Graham, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

200855 Issued in LA

Practice address

5408 Flanders Dr
Baton Rouge, LA 70808-9168

Phone

(225) 769-5554

Fax

(225) 761-3334

NPI assigned

Jul 30, 2007

Last updated

Aug 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Interventional Pain ManagementAlso: Anesthesiology

Education

Louisiana State University School of Medicine in New Orleans, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine Diagnostic Center of Baton Rouge, Inc a Professional Medical CorGroup PAC ID 8921995317, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
• Baton Rouge Rehab Hospital Inpatient rehabilitation facility, Baton Rouge, LA, CCN 193028

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: seangraham@tsdptc.allscriptsdirect.net

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.

• Spine Diagnostic Center of Baton Rouge, Inc a Professional Medical Cor

  dba The Spine Diagnostic and Pain Treatment Center

  • Specialist
  • Baton Rouge, LA
  • NPI 1790712214
  Medicare reassignment Care Compare group NPD
• Immi, LLC

  • Primary Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1902549637
  NPD (past)
• Neuromedical Center

  • Specialist
  • Baton Rouge, LA
  • NPI 1740216399
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baton Rouge Rehabilitation Hospital LLC

  dba Baton Rouge Rehab Hospital

  • Rehabilitation Hospital
  • Baton Rouge, LA
  • NPI 1699749531

  Inpatient rehabilitation facility

  Care Compare affiliation
• Our Lady of the Lake Hospital Inc.

  dba Our Lady of the Lake Regional Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1366436123
  Care Compare affiliation

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313107200000",
    "number": "1982894598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5408 FLANDERS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089168",
            "telephone_number": "225-769-5554",
            "fax_number": "225-761-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5408 FLANDERS DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708089168",
            "telephone_number": "225-769-5554",
            "fax_number": "225-761-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "SEAN",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2011-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "LA",
            "license": "MD.200855",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "200855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1090875",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillie Graham
• Macy E Graham
• Nolan Keith Graham, CRNA
• Patricia McInnis Graham, MD
• Richard R. Graham, M.D.
• Susan McDonald Graham, M.A., CCC/SLP
• Tanesha Graham
• Grahams Reliable Medical Supplies LLC
• Cindy Granata
• Grand Canyon Mobile Dentistry

• Interventional Pain Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Interventional Pain Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.