ALTHEA GRAHAM
NPI 1730734146
Nurse Practitioner - Family in Rockville, MD
About Althea Graham NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALTHEA GRAHAM (NPI 1730734146) is an individual family provider in Rockville, Maryland, licensed in Maryland (R161879) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Althea 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 Reassignments
9Medicare enrollment records show Althea Graham reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockville, MD 20854
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 168 clinicians in this Medicare group
Arlington, VA 22203
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 242 clinicians in this Medicare group
Arlington, VA 22203
- Reassigned Medicare billing, District of Columbia, Maryland and Virginia enrollments
- 1,534 clinicians in this Medicare group
Bryn Mawr, PA 19010
- Reassigned Medicare billing, Pennsylvania enrollment
- 168 clinicians in this Medicare group
Sewell, NJ 08080
- Reassigned Medicare billing, New Jersey enrollment
- 243 clinicians in this Medicare group
Eastchester, NY 10709
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Medical Group Of New York PC
- 185 clinicians in this Medicare group
Simpsonville, SC 29680
- Reassigned Medicare billing, South Carolina enrollment
- 176 clinicians in this Medicare group
Milwaukee, WI 53202
- Reassigned Medicare billing, Wisconsin enrollment
- 41 clinicians in this Medicare group
Milwaukee, WI 53202
- Reassigned Medicare billing, Wisconsin enrollment
- 37 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.
Areas of Expertise CMS Part B claims 10
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20854 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Althea Graham's NPI number?
The NPI number for Althea Graham is 1730734146. It was assigned to this individual provider in the NPPES registry on August 3, 2019.
Where is Althea Graham located?
Althea Graham practices at 7955 Tuckerman Ln, Rockville, MD 20854. The listed phone number is (301) 299-3717.
What is Althea Graham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Althea Graham enrolled in Medicare?
Yes. Althea 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 organizations bill Medicare for Althea Graham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Althea Graham reassigns Medicare benefits to 9 organizations: Minuteclinic LLC (Rockville, MD), Privia Care Center LLC (Arlington, VA), Privia Medical Group, LLC (Arlington, VA), Minuteclinic Diagnostic Of Pennsylvania LLC (Bryn Mawr, PA), Minuteclinic Diagnostic Of New Jersey LLC (Sewell, NJ) and 4 more organizations, listed in the Medicare section above. 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 Althea Graham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Althea Graham accept?
Health plans from Blue Cross and Blue Shield of NC, CareSource and CareSource (Common Ground Healthcare) list Althea Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Althea Graham was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Althea Graham · NPI 1730734146
Family physician in Rockville, Maryland. Individual provider, active in the CMS NPPES registry since August 3, 2019.
## Identity
- **NPI:** 1730734146 (Entity type: Individual)
- **Enumerated:** August 3, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R161879 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7955 TUCKERMAN LN, Rockville, MD 20854-3243
- **Phone:** (301) 299-3717
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Minuteclinic LLC (NPI 1134191836, Rockville, MD); Privia Care Center LLC (NPI 1164874426, Arlington, VA); Privia Medical Group, LLC (NPI 1013042480, Arlington, VA); Minuteclinic Diagnostic Of Pennsylvania LLC (NPI 1881738037, Bryn Mawr, PA); Minuteclinic Diagnostic Of New Jersey LLC (NPI 1053353615, Sewell, NJ); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** October 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730734146) · Data from the CMS NPPES public registry.