RICHARD TANNER GRAHAM MD
NPI 1881960029
Pediatrics - Pediatric Hematology-Oncology in Memphis, TN

NPI Status: Active since March 30, 2012

Contact Information

262 DANNY THOMAS PL
MEMPHIS, TN
ZIP 38105
Phone: (888) 226-4343

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  • Individual
  • Male
  • Years of Experience 14
  • Pediatrics
  • Pediatric Hematology-Oncology
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RICHARD GRAHAM

This page provides the complete NPI Profile along with additional information for Richard Graham, a pediatrician established in Memphis, Tennessee with a medical specialization in Pediatrics, focusing in pediatric hematology-oncology and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1881960029 assigned on March 2012. The practitioner's primary taxonomy code is 2080P0207X with license number 61823 (TN). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1881960029
Provider Name
RICHARD TANNER GRAHAM MD
Gender
Male
Entity Type
Individual
Location Address
262 DANNY THOMAS PL MEMPHIS, TN 38105
Location Phone
(888) 226-4343
Mailing Address
262 DANNY THOMAS PL # MS 515 MEMPHIS, TN 38105
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
03-30-2012
Last Update Date
07-15-2020
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A pediatrician like Richard Graham is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Hematology-Oncology

Taxonomy Code
2080P0207X
Type
Allopathic & Osteopathic Physicians
License No.
61823
License State
TN
Taxonomy Description
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

35139588 (OH)
22080P0204XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Emergency Medicine

35139588 (ND)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs - HMO
  • Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Low Premium Silver 6200 $3 Generic Drugs - HMO
  • Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
  • Silver 6000 $20 Generic Drugs - HMO
  • Bronze $8,300 w/ Adult Dental ON-EX - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1,000 w/ Adult Dental ON-EX - HMO
  • Gold $1,000 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5,000 w/ Adult Dental ON-EX - HMO
  • Silver $5,000 w/ Virtual & Wellness ON-EX - HMO
  • Silver $5,800 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Richard Graham is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Richard Graham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 547571622

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210427002112

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1881960029, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 0 → 0 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 6 + 1 + 1 + 8 + 6 + 0 + 0 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1881960029.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Radiology (Pediatric Radiology)
262 DANNY THOMAS PL, MS 515
MEMPHIS, TN 38105
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL, MAIL STOP 735
MEMPHIS, TN 38105
Psychologist (Clinical Child & Adolescent)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Psychologist (Clinical Child & Adolescent)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Nurse Practitioner (Pediatrics)
262 DANNY THOMAS PL, MS 515
MEMPHIS, TN 38105
Nurse Practitioner (Adult Health)
262 DANNY THOMAS PL, MS 515
MEMPHIS, TN 38105
Nurse Practitioner (Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Nurse Practitioner (Pediatrics)
262 DANNY THOMAS PL, MS 515
MEMPHIS, TN 38105
Nurse Practitioner (Family)
262 DANNY THOMAS PL, MS 106
MEMPHIS, TN 38105
Nurse Practitioner (Pediatrics)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Nurse Anesthetist, Certified Registered
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Pediatrics (Pediatric Hematology-Oncology)
262 DANNY THOMAS PL, MS 800
MEMPHIS, TN 38105
Nurse Practitioner (Family)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Radiology Practitioner Assistant
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Surgery
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Nurse Practitioner (Family)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Nurse Practitioner (Family)
262 DANNY THOMAS PL
MEMPHIS, TN 38105
Pharmacist (Nuclear)
262 DANNY THOMAS PL, MAILSTOP #220
MEMPHIS, TN 38105
Pharmacist
262 DANNY THOMAS PL, MAIL STOP 150
MEMPHIS, TN 38105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881960029, enumerated as an "individual" on March 30, 2012.

The provider is located at 262 DANNY THOMAS PL MEMPHIS, TN 38105 and the phone number is (888) 226-4343.

Pediatrics with taxonomy code 2080P0207X and a focus in Pediatric Hematology-Oncology.

The provider might be accepting Accepts: CareSource and MedMutual. Please consult your insurance carrier or call the provider to verify.