MRS. DIYONG S GRAHAM CRNP
NPI 1144820622
Nurse Practitioner - Primary Care in Philadelphia, PA
About Mrs. Diyong S Graham Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DIYONG S GRAHAM CRNP (NPI 1144820622) is an individual primary care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP022699) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Diyong S Graham Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Diyong Graham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 157 clinicians in this Medicare group
Philadelphia, PA 19145
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Clinical Care Associates Of The University Of Pennsylvania Health.
- 983 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Diyong Graham's NPI number?
The NPI number for Diyong Graham is 1144820622. It was assigned to this individual provider in the NPPES registry on October 26, 2020.
Where is Diyong Graham located?
Diyong Graham practices at 3900 Woodland Ave, Philadelphia, PA 19104. The listed phone number is (152) 823-5800.
What is Diyong Graham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Diyong Graham enrolled in Medicare?
Yes. Diyong Graham is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Diyong Graham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Diyong Graham reassigns Medicare benefits to 2 organizations: City Of Philadelphia (Philadelphia, PA) and Clinical Care Associates Of The University Of Pennsylvania Health Syst (Philadelphia, PA). Each 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 Diyong 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 Diyong Graham was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Mrs. Diyong S Graham, CRNP · NPI 1144820622
Primary Care physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 26, 2020.
## Identity
- **NPI:** 1144820622 (Entity type: Individual)
- **Enumerated:** October 26, 2020
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** SP022699 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3900 WOODLAND AVE, Philadelphia, PA 19104-4594
- **Phone:** (152) 823-5800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): City Of Philadelphia (NPI 1740397769, Philadelphia, PA); Clinical Care Associates Of The University Of Pennsylvania Health Syst (NPI 1508380452, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1144820622) · Data from the CMS NPPES public registry.