Individual provider Active NPI

Ralph Lee Abraham Jr., MD

  • Family Medicine Physician
  • Rayville, LA
National Provider Identifier
1013962620
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
022086 Issued in LA
Practice address
115 Christian Dr
Rayville, LA 71269-3658
Phone
(318) 728-4400
Fax
(318) 728-4430
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 022086 LA Primary

Addresses

Primary practice location

115 Christian Dr
Rayville, LA 71269-3658

Mailing address

PO Box 837
Rayville, LA 71269-0837
Phone (318) 728-4400

Other identifiers 1

IdentifierTypeStateIssuer
1660612MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100716000166 LA Practitioner - Family Practice 4587550892 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guardian Health Clinic, LLC 3 clinicians

Practice addresses (Care Compare)

111 Christian Dr
Rayville, LA 71269-3658
Phone (318) 728-4400

2408 Broadmoor Blvd
Suite 2
Monroe, LA 71201-2995
Phone (318) 807-0525

Hospital & facility affiliations

  • Mangham Home Care, Inc. Home health agency, Mangham, LA, CCN 197295
  • Elara Caring Home health agency, Winnsboro, LA, CCN 197252
  • Elara Caring Home health agency, Monroe, LA, CCN 197276
  • Trucare Home Health, LLC Home health agency, Monroe, LA, CCN 197142
  • Richardson Medical Center Hospital, Rayville, LA, CCN 190151
  • Fmol Health St Francis Hospital, Monroe, LA, CCN 190125
  • Franklin Medical Center Hospital, Winnsboro, LA, CCN 190140
  • Glenwood Regional Medical Center Hospital, West Monroe, LA, CCN 190160
  • Monroe Surgical Hospital Hospital, Monroe, LA, CCN 190245

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as apm
Quality
60.04
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022086LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guardian Health Clinic, LLC CurrentSince Apr 8, 2017 Accepting new patients
Affinity Health Group, LLC Family Medicine CurrentSince Nov 1, 2011 Accepting new patients
Affinity Health Group, LLC CurrentSince Nov 1, 2011 Accepting new patients
Affinity Health Gorup, LLC Past Accepting new patients
Affinity Health Group, LLC Past Accepting new patients
Affinity Health Group, LLC Past Accepting new patients
Affinity Health Group LLC Past Accepting new patients
Affinity Health Group LLC Past Accepting new patients
Affinity Health Group, LLC Past Accepting new patients
Affinity Health Group LLC Past Accepting new patients
Affinity Health Group, LLC Family Medicine Past Accepting new patients
Affinity Health Group LLC Past Accepting new patients
Affinity Health Group, LLC Past Accepting new patients
Affinity Health Group, LLC Past Accepting new patients
Affinity Health Gorup, LLC Past Accepting new patients
Affinity Health Group, LLC Past Accepting new patients
Affinity Health Gorup, LLC Past Accepting new patients
Affinity Health Group, LLC Past Accepting new patients
Affinity Health Group LLC Past Accepting new patients
Affinity Health Group, LLC Family Medicine Past Accepting new patients
Affinity Health Group, LLC Family Medicine Past Accepting new patients
Affinity Health Group, LLC Family Medicine Past Accepting new patients
Affinity Health Group, LLC Past Accepting new patients
Affinity Health Gorup, LLC Family Medicine Past Accepting new patients
Affinity Health Gorup, LLC Past Accepting new patients
Affinity Health Group LLC Past Accepting new patients
Affinity Health Gorup, LLC Family Medicine Past Accepting new patients

Locations

261 Highway 132
Mangham, LA 71259
Phone (318) 248-2807

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

115 Christian Dr
Rayville, LA 71269
Phone (318) 728-4400

111 Christian Dr
Rayville, LA 71269
Phone (318) 728-3263

2104 Loop Rd
Ste C
Winnsboro, LA 71295
Phone (318) 435-4571

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 9

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013962620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712690837",
            "telephone_number": "318-728-4400",
            "fax_number": "318-728-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHRISTIAN DR",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693658",
            "telephone_number": "318-728-4400",
            "fax_number": "318-728-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "RALPH",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "022086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1660612",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayville, LA

Sources for this page

Verify at the official NPI Registry.