MICHAEL GRAHAM (MD) – Pediatric Hematology & Oncology Physician, NPI 1164496923

MICHAEL GRAHAM (MD) is a healthcare provider. based in Reno, Nevada. specializing in Pediatric Hematology & Oncology Physician. They hold the professional credentials MD. They hold a License No. 23389 (AZ). The NPI Number for MICHAEL GRAHAM (MD) is 1164496923

Main info

Male
Sole Proprietor
51 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL GRAHAM (MD)
NPI
1164496923
Phone
(702) 330-0555
Address
6880 S McCarran Blvd Ste 4
Enumeration Date
16 February 2006
Last Update Date
26 August 2024

Doctor Profile

Medical School Name
WARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Secondary Phone
6026807722
Graduation Year
1975 (51 years ago)
PAC ID
6608960349
Group Practice PAC ID
3577878297
Professional Enrollment ID
I20070926000018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MICHAEL GRAHAM (MD)

  • 6880 S McCarran Blvd Ste 4

    Reno, NV 895096129

    Phone: (702) 330-0555

    Fax: (702) 832-1128

    Type: Location

  • 8352 W WARM SPRINGS RD STE 200

    LAS VEGAS, NV 891133629

    Phone: (702) 330-0555

    Fax: (702) 832-1128

    Type: Mailing

  • 1432, South Dobson Road, Mesa, Maricopa County, Arizona, 85202, United States

    STE. 107

    MESA, AZ 852024768

    Phone: (480) 412-4100

    Fax: (480) 412-5154

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $360.

Total Amount is formed as General ($360) + Research ($0) + Ownership ($0) = $360.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($70).

Total Amount

$360

General + Research + Ownership

Payments

19

Total payment records

General Amount

$360

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240122002928IHematology/OncologyNVTBD

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 89509)

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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: 3577878297View full group profile
NameSpecialtyState
-AZ

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHAEL GRAHAM (MD)?
MICHAEL GRAHAM (MD) — NPI 1164496923 — is the standard way to identify this listing.
Does the file indicate MICHAEL GRAHAM (MD) is practicing under active NPI?
Directory data currently reports MICHAEL GRAHAM (MD) as active.
What is MICHAEL GRAHAM (MD)'s primary classification?
Pediatric Hematology & Oncology Physician is the headline specialty for MICHAEL GRAHAM (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL GRAHAM (MD)?
MICHAEL GRAHAM (MD)'s geographic hint is Reno, Nevada in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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