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JONATHAN C. GRAHAM D.P.M.
NPI 1003996901
Podiatrist - Foot & Ankle Surgery in Yakima, WA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
502 N 40TH AVE, YAKIMA, WA 98908(509) 965-0625(509) 966-4967 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jonathan C. Graham D.p.m. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN C. GRAHAM D.P.M. (NPI 1003996901) is an individual foot & ankle surgery provider in Yakima, Washington, licensed in Washington (PO60013996) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (2003).

NPPES Registry Identity

NPI1003996901
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameJONATHAN C. GRAHAMCredential: D.P.M.
Location Address502 N 40TH AVEYakima, WA 98908-4319
Mailing Address1800 River Rd, Apartment 152Yakima, WA 98902-1263 · (801) 918-6581 · Fax (801) 918-6581
Phone(509) 965-0625
Fax(509) 966-4967
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2003
Enumeration DateOctober 16, 2006
Last NPPES UpdateFebruary 11, 2022
✔ NPI 1003996901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in WA · PO60013996✔ Licensed in CA · E4772✔ Licensed in TN · DPM0000000668✔ Licensed in UT · 56793490501
502 N 40TH AVE, Yakima, WA 98908
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan C. Graham D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769552363
PECOS Enrollment IDI20110520000456
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
591 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERESA L. COOK L.M.P
Massage Therapist
502 N 40TH AVE, SUITE 3
YAKIMA, WA 98908
Yakima County (509) 574-8492
ADVANCED PODIATRY SPECIALISTS PS
Podiatrist
502 N 40TH AVE, UNIT 1
YAKIMA, WA 98908
Yakima County (509) 965-0625
DR. CURTIS TROUSDALE HOLDEN DPM
Podiatrist
502 N 40TH AVE, STE 1
YAKIMA, WA 98908
Yakima County (509) 965-0625
KARI ANN MARQUIS L.M.P.
Massage Therapist
502 N 40TH AVE, UNIT 3
YAKIMA, WA 98908
Yakima County (509) 574-8492

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Graham's NPI number?

The NPI number for Jonathan Graham is 1003996901. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Jonathan Graham located?

Jonathan Graham practices at 502 N 40th Ave, Yakima, WA 98908. The listed phone number is (509) 965-0625.

What is Jonathan Graham's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jonathan Graham enrolled in Medicare?

Yes. Jonathan Graham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jonathan Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Graham reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Graham was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.