Jerry Graham, MD
NPI 1336941707 · Student in an Organized Health Care Education/Training Program · Detroit, MI
Enrolled with Medicare as Order and Referring Only - Anesthesiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerry Graham, MD is a Student in an Organized Health Care Education/Training Program provider in Detroit, MI (NPI 1336941707).
Provider details
- NPI number
- 1336941707
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4351054512 (MI)
Specialties & taxonomies
- Student in an Organized Health Care Education/Training ProgramPrimary390200000XLicense 4351054512 (MI)
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-26
- Last updated
- 2025-04-22
- Certified
- 2025-04-22
Frequently asked questions
- What is Jerry Graham's NPI number?
- Jerry Graham's National Provider Identifier (NPI) is 1336941707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Graham's specialty?
- Jerry Graham is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Jerry Graham located?
- Jerry Graham's practice location on file with NPPES is 2799 W Grand Blvd, Detroit, MI 48202-2689.
- What is Jerry Graham's phone number?
- The practice phone number listed in the NPPES registry for Jerry Graham is (313) 916-2600.
- Does Jerry Graham accept Medicare?
- Jerry Graham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jerry Graham's NPI active?
- Yes — Jerry Graham's NPI (1336941707) is active in the NPPES registry as of the last update on 2025-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.