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DERREL DEWAYNE GRAHAM M.D.
NPI 1447276324
Emergency Medicine in Shreveport, LA

Active since July 14, 2006PECOS Enrolled
1501 KINGS HWY, DEPARTMENT OF EMERGENCY MEDICINE, SHREVEPORT, LA 71103(318) 675-6880(318) 675-6895 Get Directions Write a Review

NPPES record last updated: July 29, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Derrel Dewayne Graham M.d. NPPES

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

DERREL DEWAYNE GRAHAM M.D. (NPI 1447276324) is an individual emergency medicine provider in Shreveport, Louisiana, licensed in Louisiana (021596) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447276324
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDERREL DEWAYNE GRAHAMCredential: M.D.
Location Address1501 KINGS HWY, DEPARTMENT OF EMERGENCY MEDICINEShreveport, LA 71103-4228
Mailing Address1501 Kings Hwy, Department Of Emergency MedicineShreveport, LA 71103-4228 · (318) 675-6880 · Fax (318) 675-6895
Phone(318) 675-6880
Fax(318) 675-6895
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateJuly 29, 2009
✔ NPI 1447276324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · 021596
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1501 KINGS HWY, Shreveport, LA 71103
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Other Identifiers 3

Medicare ID-Type Unspecified5A380F600LA
Medicaid1538434LA
Medicare UPING29980LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derrel Dewayne Graham M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
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.

HS LOUISIANA, LLC
General Practice
1501 KINGS HWY, SUITE 5-303
SHREVEPORT, LA 71103
Caddo Parish (904) 834-2679
MUNIRA DAWITH MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY, PSYCHIATRY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-6619
MUHAMMAD AYUB
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434
SEFI AHMED JAWADI
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0505
LUKE MUIZNIEKS
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-1574
KRISTIN BEMBENICK
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5300
CHRISTIAN SCOTT BAKER MD
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 675-5053
BRYCE MILLER DO
Student in an Organized Health Care Education/Training Program
1501 KINGS HWY
SHREVEPORT, LA 71103
Caddo Parish (318) 626-0434

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 Derrel Graham's NPI number?

The NPI number for Derrel Graham is 1447276324. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Derrel Graham located?

Derrel Graham practices at 1501 Kings Hwy Department Of Emergency Medicine, Shreveport, LA 71103. The listed phone number is (318) 675-6880.

What is Derrel Graham's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Derrel Graham enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Derrel Graham was last updated on July 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.