RANDY GRAHAM CRNA
NPI 1417683483
Nurse Anesthetist, Certified Registered in San Antonio, TX

Q: What is Randy Graham's NPI number?

The NPI number for Randy Graham is 1417683483. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Q: What is Randy Graham's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Randy Graham was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since August 01, 2022Accepts Medicare Assignment

7946 N LOOP 1604 W, SAN ANTONIO, TX 78249(210) 567-9100(210) 450-2165 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Randy Graham Crna NPPES

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

RANDY GRAHAM CRNA (NPI 1417683483) is an individual nurse anesthetist, certified registered in San Antonio, Texas, licensed in Texas (1089180) and active in the NPI registry since August 2022. He is affiliated with Guadalupe Regional Medical Center, maintains a secondary practice location in Fort Belvoir, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417683483

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameRANDY GRAHAMCredential: CRNA

Location Address7946 N LOOP 1604 WSan Antonio, TX 78249-5174

Mailing Address7946 N Loop 1604 WSan Antonio, TX 78249-5174 · (210) 567-9100 · Fax (210) 450-2165

Phone(210) 567-9100

Fax(210) 450-2165

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 1, 2022

Last NPPES UpdateOctober 21, 2024

NPPES CertifiedOctober 21, 2024

✔ NPI 1417683483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TX · 1089180

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

7946 N LOOP 1604 W, San Antonio, TX 78249

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Secondary Practice Location 1

Location 19300 DeWitt LoopFort Belvoir, VA 22060-5285 · Phone (571) 231-3224

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Randy Graham Crna 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 ID3870942766

PECOS Enrollment IDI20231218003588

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Guadalupe Regional Medical Center

Acute Care Hospitals · Seguin, TX

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number450104

Location1215 E Court StSeguin, TX 78155 · Guadalupe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78249 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

THOMAS M DEBERARDINO MD

Orthopaedic Surgery