GRAHAM ROBERT HALE (MD) – Urology Physician, NPI 1063973634

GRAHAM ROBERT HALE (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 60494 (KY). The NPI Number for GRAHAM ROBERT HALE (MD) is 1063973634

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
GRAHAM ROBERT HALE (MD)
NPI
1063973634
Phone
(317) 260-1086
Address
5732 N PENNSYLVANIA ST
Enumeration Date
27 March 2019
Last Update Date
2 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122823899
Graduation Year
2019 (7 years ago)
PAC ID
8224360490
Group Practice PAC ID
3779572888
Professional Enrollment ID
I20250702000705
Address ID
KY402074615LO3920XCXXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

543 UROLOGY in IL

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Provider Addresses for GRAHAM ROBERT HALE (MD)

  • 5732, North Pennsylvania Street, Meridian Kessler, Indianapolis, Marion, Indiana, 46220, United States

    INDIANAPOLIS, IN 462202537

    Phone: (317) 260-1086

    Type: Mailing

  • University of Illinois at Chicago Hospital (UICH), 1740, West Taylor Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    CHICAGO, IL 606127232

    Phone: (866) 600-2273

    Type: Location

  • 101 HOSPITAL BLVD

    JEFFERSONVILLE, IN 471303769

    Phone: (812) 282-3899

    Fax: (812) 282-4172

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250623003062IUrologyINTBD
I20250702000705IUrologyKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779572888View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
U R O L O G YIN
Radiation OncologyKY
Nurse PractitionerKY
U R O L O G YIN
Nurse PractitionerIN
U R O L O G YIN
-IN
Interventional RadiologyIL

Reviews

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Frequently asked questions

What NPI should I save for GRAHAM ROBERT HALE (MD)?
Save NPI 1063973634 if you need a stable reference for GRAHAM ROBERT HALE (MD).
Is GRAHAM ROBERT HALE (MD) active in the national directory?
GRAHAM ROBERT HALE (MD)'s public NPI profile is in an active state.
What field does GRAHAM ROBERT HALE (MD) work in?
You can think of GRAHAM ROBERT HALE (MD) as practicing within Urology Physician. Clinical services aligned with this taxonomy classification.
What location shows for GRAHAM ROBERT HALE (MD)?
We surface Indianapolis, Indiana for GRAHAM ROBERT HALE (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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