GARTH NIGEL GRAHAM MD
NPI 1427252584
Internal Medicine - Cardiovascular Disease in Kansas City, MO

Active since June 13, 2007PECOS Enrolled
4330 WORNALL RD, SUITE 2000, KANSAS CITY, MO 64111(816) 931-1883 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Garth Nigel Graham Md NPPES

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

GARTH NIGEL GRAHAM MD (NPI 1427252584) is an individual cardiovascular disease provider in Kansas City, Missouri, licensed in Missouri (2016019591) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427252584
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameGARTH NIGEL GRAHAMCredential: MD
Location Address4330 WORNALL RD, SUITE 2000Kansas City, MO 64111-3201
Mailing AddressPo Box 505008Saint Louis, MO 63150-5008 · (816) 502-7000
Sole ProprietorNo
Enumeration DateJune 13, 2007
Last NPPES UpdateSeptember 30, 2016
✔ NPI 1427252584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MO · 2016019591
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License ME110458 (FL), 219052 (MA)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 2016019591 (MO)
4330 WORNALL RD, Kansas City, MO 64111

Other Identifiers 2

Medicaid004002000FL
Medicare PINFI486ZFL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garth Nigel Graham Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Garth Graham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
17000 MEDICAL CENTER DR
Baton Rouge, LA 70816
  • Reassigned Medicare billing, Connecticut enrollment
  • 127 clinicians in this Medicare group
Internal Medicine
819 WORCESTER ST, SUITE 3
Springfield, MA 01151
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Ipc Hospitalists Of New England PC
  • 88 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
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 20

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

Nurse Practitioner (Adult Health)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Nuclear Medicine (Nuclear Cardiology)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Internal Medicine (Cardiovascular Disease)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Internal Medicine (Clinical Cardiac Electrophysiology)
4330 WORNALL RD, STE 2000
KANSAS CITY, MO 64111
Internal Medicine (Interventional Cardiology)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Nurse Practitioner
4330 WORNALL RD, MEDICAL PLAZA III SUITE 2000
KANSAS CITY, MO 64111
Nurse Practitioner (Adult Health)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111
Internal Medicine (Interventional Cardiology)
4330 WORNALL RD, SUITE 2000
KANSAS CITY, MO 64111

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 Garth Graham's NPI number?

The NPI number for Garth Graham is 1427252584. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Garth Graham located?

Garth Graham practices at 4330 Wornall Rd Suite 2000, Kansas City, MO 64111. The listed phone number is (816) 931-1883.

What is Garth Graham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Garth Graham enrolled in Medicare?

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

Which organizations bill Medicare for Garth Graham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Garth Graham reassigns Medicare benefits to 2 organizations: Hospital Medicine Associates LLC (Baton Rouge, LA) and Ipc Hospitalists Of New England, P.C. (Springfield, MA). 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 Garth 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 Garth Graham was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.