Individual provider Active NPI

Sunil J Abraham, M.D.

  • Internal Medicine Physician
  • Victorville, CA
National Provider Identifier
1013161306
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A109069 Issued in CA
Practice address
13010 Hesperia Road
Ste. 300
Victorville, CA 92395-8315
Phone
(760) 843-7873
Fax
(760) 843-7831
NPI assigned
Nov 12, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Internal Medicine Physician 207R00000X A109069 CA Primary

Addresses

Primary practice location

13010 Hesperia Road
Ste. 300
Victorville, CA 92395-8315

Mailing address

19111 Town Center Dr
Apple Valley, CA 92308-8989
Phone (760) 242-7777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000567 CA Practitioner - Internal Medicine 0244368108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caremd, Inc.Group PAC ID 9133390297, 7 clinicians

Practice addresses (Care Compare)

1890 W Main St
Suite 110
Barstow, CA 92311-3726
Phone (760) 256-1422

Hospital & facility affiliations

  • Valde Home Health, Inc Home health agency, Victorville, CA, CCN 053161
  • Imperial Home Health Home health agency, Victorville, CA, CCN 059033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Caremd, Inc. Internal Medicine CurrentSince Apr 21, 2024 Accepting new patients
Choice Healthcare Associates, Inc. CurrentSince May 4, 2015 Accepting new patients

Locations

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

18522 US Highway 18
Ste 208
Apple Valley, CA 92307
Phone (760) 242-9262

18564 US Highway 18
Ste 105
Apple Valley, CA 92307

1890 W Main St
Ste 110
Barstow, CA 92311
Phone (760) 256-1422

13010 Hesperia Rd
Ste 300
Victorville, CA 92395
Phone (760) 843-7873

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sunilabraham@chai.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1013161306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 TOWN CENTER DR",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088989",
            "telephone_number": "760-242-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 HESPERIA ROAD",
            "address_2": "STE. 300",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958315",
            "telephone_number": "760-843-7873",
            "fax_number": "760-843-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "SUNIL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-12",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A109069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.