ADRIA MARISSA GRAHAM P.A.
NPI 1649729450
Physician Assistant - Surgical in Los Angeles, CA

Active since September 22, 2016PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1625 SCHRADER BLVD FL 3, LOS ANGELES, CA 90028(323) 993-7500(323) 308-4449 Get Directions Write a Review

NPPES record last updated: April 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2018, Sep 22, 2016 (2 updates tracked since 2016).

About Adria Marissa Graham P.a. NPPES

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

ADRIA MARISSA GRAHAM P.A. (NPI 1649729450) is an individual surgical provider in Los Angeles, California, licensed in (54935) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1649729450
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameADRIA MARISSA GRAHAMCredential: P.A.
Location Address1625 SCHRADER BLVD FL 3Los Angeles, CA 90028-6213
Mailing Address1625 Schrader Blvd Fl 3Los Angeles, CA 90028-6213 · (323) 993-7500 · Fax (323) 308-4449
Fax(323) 308-4449
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 22, 2016
Last NPPES UpdateApril 27, 20182 updates tracked since enumeration
NPI 1649729450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed · 54935
1625 SCHRADER BLVD FL 3, Los Angeles, CA 90028

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Adria Marissa Graham P.a. 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 ID9638431588
PECOS Enrollment IDI20191001002237
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services18 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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES

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

Physician Assistant (Medical)
1625 SCHRADER BLVD FL 3
LOS ANGELES, CA 90028

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 Adria Graham's NPI number?

The NPI number for Adria Graham is 1649729450. It was assigned to this individual provider in the NPPES registry on September 22, 2016.

Where is Adria Graham located?

Adria Graham practices at 1625 Schrader Blvd Fl 3, Los Angeles, CA 90028. The listed phone number is (323) 993-7500.

What is Adria Graham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Adria Graham enrolled in Medicare?

Yes. Adria 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 Adria Graham affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Adria Graham was last updated on April 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.