GRAIDUKEL MED INC
NPI 1902045040
Internal Medicine - Cardiovascular Disease in Pasadena, CA

Q: What is Graidukel Med Inc's NPI number?

The NPI number for Graidukel Med Inc is 1902045040. It was assigned to this organization in the NPPES registry on February 12, 2009.

Q: What is Graidukel Med Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Graidukel Med Inc was last updated on February 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 12, 2009

2750 E WASHINGTON BLVD, SUITE #370, PASADENA, CA 91107(626) 296-0792 Get Directions Write a Review

NPPES record last updated: February 12, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Graidukel Med Inc NPPES

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

GRAIDUKEL MED INC (NPI 1902045040) is a healthcare organization registered as a cardiovascular disease in Pasadena, California and active in the NPI registry since February 2009. The organization lists Iduama Kelly-dokubo, President, as its authorized official.

NPPES Registry Identity

NPI1902045040

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameGRAIDUKEL MED INC

Location Address2750 E WASHINGTON BLVD, SUITE #370Pasadena, CA 91107-1448

Mailing AddressPo Box 50082Pasadena, CA 91115-0082 · (626) 296-0792

Phone(626) 296-0792

Organization SubpartNo

Authorized OfficialIduama Kelly-dokuboPresident · (626) 296-0792

Enumeration DateFebruary 12, 2009

✔ NPI 1902045040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2750 E WASHINGTON BLVD, Pasadena, CA 91107

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Graidukel Med Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Graidukel Med Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Iduama Kelly Dokubo, M.D.

Cardiovascular Disease (Cardiology)

NPI 1376503144

2750 E WASHINGTON BLVD SUITE #370
Pasadena, CA 91107

(626) 296-0792

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Graidukel Med Inc's NPI number?

The NPI number for Graidukel Med Inc is 1902045040. It was assigned to this organization in the NPPES registry on February 12, 2009.

Where is Graidukel Med Inc located?

Graidukel Med Inc is located at 2750 E Washington Blvd Suite #370, Pasadena, CA 91107. The listed phone number is (626) 296-0792.

What is Graidukel Med Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Graidukel Med Inc enrolled in Medicare?

Yes. Graidukel Med Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Graidukel Med Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Graidukel Med Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Graidukel Med Inc was last updated on February 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.