DR. TERRENCE M GRAHAM DPM,FACFAS
NPI 1972585990
Podiatrist - Foot & Ankle Surgery in Decatur, IL

Q: What is Terrence Graham's NPI number?

The NPI number for Terrence Graham is 1972585990. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Q: What is Terrence Graham's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Terrence Graham was last updated on February 28, 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.

Active since November 16, 2005

2 MEMORIAL DR STE 305, DECATUR, IL 62526(217) 876-4830(217) 876-8385 Get Directions Write a Review

NPPES record last updated: February 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Terrence M Graham Dpm,facfas NPPES

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

DR. TERRENCE M GRAHAM DPM,FACFAS (NPI 1972585990) is an individual foot & ankle surgery provider in Decatur, Illinois, licensed in Illinois (016003032) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1972585990

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameDR. TERRENCE M GRAHAMCredential: DPM,FACFAS

Location Address2 MEMORIAL DR STE 305Decatur, IL 62526-3999

Mailing Address102 W Kenwood Ave, Suite 150Decatur, IL 62526-4368 · (217) 875-3668 · Fax (217) 875-4277

Phone(217) 876-4830

Fax(217) 876-8385

Sole ProprietorNo

Enumeration DateNovember 16, 2005

Last NPPES UpdateFebruary 28, 2018

✔ NPI 1972585990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in IL · 016003032

2 MEMORIAL DR STE 305, Decatur, IL 62526

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Other Identifiers 3

Medicaid016003032IL

Other480008850IL · Rr Medicare

Other0060215009IL · Bcbs

Other Providers at the Same Location NPPES

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

EDWARD C ELLIOTT III

Orthopaedic Surgery (Foot and Ankle Surgery)

2 MEMORIAL DR STE 305
DECATUR, IL 62526

Macon County (217) 876-4830

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 Terrence Graham's NPI number?

The NPI number for Terrence Graham is 1972585990. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Terrence Graham located?

Terrence Graham practices at 2 Memorial Dr Ste 305, Decatur, IL 62526. The listed phone number is (217) 876-4830.

What is Terrence Graham's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Terrence Graham was last updated on February 28, 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.