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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

IMANI GRAHAM DPM
NPI 1205770690
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 16, 2026PECOS Enrolled
10122 E 10TH ST STE 230, INDIANAPOLIS, IN 46229(317) 355-7356(317) 806-1175 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2026, Apr 16, 2026 (2 updates tracked since 2026).

About Imani Graham Dpm NPPES

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

IMANI GRAHAM DPM (NPI 1205770690) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (41000520A) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1205770690
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameIMANI GRAHAMCredential: DPM
Location Address10122 E 10TH ST STE 230Indianapolis, IN 46229-2664
Mailing Address10122 E 10th St Ste 230Indianapolis, IN 46229-2664
Phone(317) 355-7356
Fax(317) 806-1175
Sole ProprietorNo
Enumeration DateApril 16, 2026
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1205770690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IN · 41000520A
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.
10122 E 10TH ST STE 230, Indianapolis, IN 46229
Open in Google Maps ↗

Secondary Practice Location 1

Location 19220 Robey Glen DrIndianapolis, IN 46234-8627 · Phone (317) 246-8220

Other Identifiers 1

Medicaid300133660IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imani Graham Dpm 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 13

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

BRENDAN MICHAEL RAY DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
TASSAWAR FAROOQ DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
GREGORY W BOAKE D.P.M.
Podiatrist
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
JACQUELYN NICOLE WOODCOCK DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (173) 355-7356
YOUSSEF MOUSTAFA DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (173) 355-7356
DR. COREY NATHANIAL GROH D.P.M.
Podiatrist
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7120
KRISTEN LILE DPM
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356
WILLIAM EVANS
Student in an Organized Health Care Education/Training Program
10122 E 10TH ST STE 230
INDIANAPOLIS, IN 46229
Marion County (317) 355-7356

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 Imani Graham's NPI number?

The NPI number for Imani Graham is 1205770690. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Where is Imani Graham located?

Imani Graham practices at 10122 E 10th St Ste 230, Indianapolis, IN 46229. The listed phone number is (317) 355-7356.

What is Imani 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 Imani Graham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Imani Graham was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.