Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Matthew Graham, PA-C

Individual provider Physician Assistant · NPI 1932877404

Benjamin Matthew Graham, PA-C is a Physician Assistant in Oak Park Heights, Minnesota. Qualified in 2020, 6 years ago. Practices with Altru Health System, a 667-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
6
Licensed in
MN, WI
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5715 Memorial Ave N
Oak Park Heights, MN 55082-1093
Phone: (651) 439-8807
Fax: (651) 439-0232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13701 (MN)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 5590-23 (WI)

Record details

NPI number1932877404
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Altru Health System — 667 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Oak Park Heights