ALEXIS GRAHAM MD
NPI 1124418447
Surgery - Vascular Surgery in Boise, ID
About Alexis Graham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEXIS GRAHAM MD (NPI 1124418447) is an individual vascular surgery provider in Boise, Idaho, licensed in Idaho (5571144) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
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
Alexis Graham Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Alexis Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boise, ID 83712
- Reassigned Medicare billing, Idaho enrollment
- 1,312 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's Regional Medical Center
Acute Care Hospitals · Boise, IDSaint Alphonsus Regional Medical Center
Acute Care Hospitals · Boise, IDSt Luke's Nampa Medical Center
Acute Care Hospitals · Nampa, IDSt Luke's Mccall
Critical Access Hospitals · Mccall, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOISE, ID 83702
BOISE, ID 83702
BOISE, ID 83702
BOISE, ID 83702
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 Alexis Graham's NPI number?
The NPI number for Alexis Graham is 1124418447. It was assigned to this individual provider in the NPPES registry on January 26, 2015.
Where is Alexis Graham located?
Alexis Graham practices at 333 N 1st St Ste 280, Boise, ID 83702. The listed phone number is (208) 345-6545.
What is Alexis Graham's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Alexis Graham enrolled in Medicare?
Yes. Alexis 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 Alexis Graham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Graham reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). 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 Alexis Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alexis Graham accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Alexis Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Alexis Graham affiliated with any hospitals?
According to CMS data, Alexis Graham is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center, St Luke's Nampa Medical Center and St Luke's Mccall.
When was this NPI record last updated?
The NPPES record for Alexis Graham was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Alexis Graham, MD · NPI 1124418447
Vascular Surgery physician in Boise, Idaho. Individual provider, active in the CMS NPPES registry since January 26, 2015.
## Identity
- **NPI:** 1124418447 (Entity type: Individual)
- **Enumerated:** January 26, 2015
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** 5571144 (Idaho)
- **Sole proprietor:** No
## Practice location
- **Address:** 333 N 1ST ST STE 280, Boise, ID 83702-6132
- **Phone:** (208) 345-6545 · **Fax:** (208) 345-1213
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Lukes Clinic-Treasure Valley LLC (NPI 1326336058, Boise, ID), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Johns Hopkins University School Of Medicine, class of 2017
## Record status
- **NPPES last updated:** August 21, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1124418447) · Data from the CMS NPPES public registry.