KELLY GRAHAM
NPI 1447823471
Dietitian, Registered in San Diego, CA
About Kelly Graham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY GRAHAM (NPI 1447823471) is an individual dietitian, registered in San Diego, California and active in the NPI registry since July 2021. She is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly Graham 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Graham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92113
- Reassigned Medicare billing, California enrollment
- 1,100 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 92113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92113
SAN DIEGO, CA 92113
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 Kelly Graham's NPI number?
The NPI number for Kelly Graham is 1447823471. It was assigned to this individual provider in the NPPES registry on July 19, 2021.
Where is Kelly Graham located?
Kelly Graham practices at 1809 National Ave, San Diego, CA 92113. The listed phone number is (619) 515-2526.
What is Kelly Graham's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Kelly Graham enrolled in Medicare?
Yes. Kelly Graham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kelly Graham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Graham reassigns Medicare benefits to Family Health Centers Of San Diego, Inc. (San Diego, CA). The 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 Kelly 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 Kelly Graham was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kelly Graham · NPI 1447823471
Dietitian, Registered provider in San Diego, California. Individual provider, active in the CMS NPPES registry since July 19, 2021.
## Identity
- **NPI:** 1447823471 (Entity type: Individual)
- **Enumerated:** July 19, 2021
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1809 NATIONAL AVE, San Diego, CA 92113-2113
- **Phone:** (619) 515-2526
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Family Health Centers Of San Diego, Inc. (NPI 1326231713, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 19, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1447823471) · Data from the CMS NPPES public registry.