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DR. LARRY C GRAHAM MD NPI 1023090503


NPI Information

NPI: 1023090503
Provider Name: DR. LARRY C GRAHAM, MD
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Organization: KANSAS IMAGING CONSULTANTS PA

PECOS Registration: Yes

Address:
3600 E HARRY ST
WICHITA, KS
ZIP 67218
Phone: (316) 689-5050
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DR. Larry C Graham, MD is a body imaging radiology in Wichita, KS with 27 years of experience. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. DR. Larry C Graham, MD NPI is 1023090503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

3600 E HARRY ST
WICHITA, KS
ZIP 67218-713
Phone: (316) 689-5050
Fax: (316) 689-6192

The NPI 1023090503 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • X-ray of abdomen, single view (HCPCS:74000)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound study of arteries and arterial grafts of both legs (HCPCS:93925)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Ultrasound of head and neck (HCPCS:76536)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Injections of substances into lower or sacral spine (HCPCS:62311)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound study of arteries and arterial grafts of one leg or limited (HCPCS:93926)
  • Ultrasound pelvis through vagina (HCPCS:76830)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)

The enumeration date for this NPI number is 11/18/2005 and was last updated on 11/20/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0904XRadiologyNuclear Radiology04-28763KANSASNo
22085N0700XRadiologyNeuroradiology04-28763KANSASNo
32085P0229XRadiologyPediatric Radiology04-28763KANSASNo
42085R0202XRadiologyDiagnostic Radiology04-28763KANSASNo
52085R0203XRadiologyTherapeutic Radiology04-28763KANSASNo
62085R0204XRadiologyVascular & Interventional Radiology04-28763KANSASNo
72085U0001XRadiologyDiagnostic Ultrasound04-28763KANSASNo
82085B0100XRadiologyBody Imaging04-28763KANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1102068MEDICARE ID-TYPE UNSPECIFIEDKANSAS
2100420330CMEDICAIDKANSAS
3300132252OTHERKANSASRR MEDICARE
4H59766MEDICARE UPINKANSAS
5100173090AMEDICAIDOKLAHOMA
61023090503MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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