JACOB PHILIP GRAHAM PA
NPI 1508558677
Physician Assistant - Medical in Pittsburgh, PA

Active since May 25, 2023PECOS EnrolledAccepts Medicare Assignment
200 LOTHROP ST, PITTSBURGH, PA 15213(585) 775-9368 Get Directions Write a Review

NPPES record last updated: May 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Philip Graham Pa NPPES

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

JACOB PHILIP GRAHAM PA (NPI 1508558677) is an individual medical provider in Pittsburgh, Pennsylvania and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508558677
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACOB PHILIP GRAHAMCredential: PA
Location Address200 LOTHROP STPittsburgh, PA 15213-2536
Mailing Address6960 Pelham RiseVictor, NY 14564-9633 · (585) 775-9368
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 25, 2023
NPPES CertifiedMay 25, 2023
NPI 1508558677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
200 LOTHROP ST, Pittsburgh, PA 15213

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

Jacob Philip Graham Pa 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 ID7113373556
PECOS Enrollment IDI20231021000297
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
59 services25 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

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 Anesthetist, Certified Registered
200 LOTHROP ST
PITTSBURGH, PA 15213
Surgery (Vascular Surgery)
200 LOTHROP ST, F600 PRESBYTERIAN HOSPITAL
PITTSBURGH, PA 15213
Nurse Practitioner (Critical Care Medicine)
200 LOTHROP ST, 613 SCAIFE HALL
PITTSBURGH, PA 15213
Internal Medicine (Critical Care Medicine)
200 LOTHROP ST
PITTSBURGH, PA 15213
Occupational Therapist
200 LOTHROP ST
PITTSBURGH, PA 15213
Neurological Surgery
200 LOTHROP ST
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213
Student in an Organized Health Care Education/Training Program
200 LOTHROP ST
PITTSBURGH, PA 15213

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 Jacob Graham's NPI number?

The NPI number for Jacob Graham is 1508558677. It was assigned to this individual provider in the NPPES registry on May 25, 2023.

Where is Jacob Graham located?

Jacob Graham practices at 200 Lothrop St, Pittsburgh, PA 15213. The listed phone number is (585) 775-9368.

What is Jacob Graham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacob Graham enrolled in Medicare?

Yes. Jacob 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.

Is Jacob Graham affiliated with any hospitals?

According to CMS data, Jacob Graham is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Jacob Graham was last updated on May 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.