LANDON GRAHAM
NPI 1184415911
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since May 13, 2025PECOS Enrolled
MSC11 6025 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-5062(505) 272-6503 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Landon Graham NPPES

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

LANDON GRAHAM (NPI 1184415911) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184415911
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameLANDON GRAHAM
Location AddressMSC11 6025 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-1234
Mailing AddressMsc11 6025 1 University Of New MexicoAlbuquerque, NM 87131-1234 · (505) 272-5062 · Fax (505) 272-6503
Fax(505) 272-6503
Sole ProprietorYes
Enumeration DateMay 13, 2025
NPPES CertifiedMay 13, 2025
NPI 1184415911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

MSC11 6025 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Landon Graham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Emergency Medicine
MSC11 6025 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

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 Landon Graham's NPI number?

The NPI number for Landon Graham is 1184415911. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Landon Graham located?

Landon Graham practices at Msc11 6025 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-5062.

What is Landon Graham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Landon Graham enrolled in Medicare?

Yes. Landon Graham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Landon Graham was last updated on May 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.