Active NPI
Jason Abraham
- Internal Medicine Physician
- Wichita Falls, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- U9801
- Practice address
- 1631 11TH Street
Unit B
Wichita Falls, TX 76301 - Phone
- (940) 263-3000
- Fax
- (940) 263-3018
- NPI assigned
- Apr 15, 2021
- Last updated
- Jun 20, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | U9801 | TX | Primary |
Addresses
Primary practice location
1631 11TH Street
Unit B
Wichita Falls, TX 76301
Mailing address
1631 11TH Street
Unit B
Wichita Falls, TX 76301-3046
Phone (940) 263-3000
Other practice location 1
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 355-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Rocky Vista University College of Osteopathic Med, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 11TH St
Wichita Falls, TX 76301-4300
Phone (940) 263-3000
4850 W Oakland Park Blvd
Suite 115
Lauderdale Lakes, FL 33313-7268
Phone (954) 486-8663
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U9801 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Regional Health Care System Inc | Current | Accepting new patients | |
| La Magna Health PLLC | Current | Accepting new patients | |
| Shaly Robince Inc | Current | Accepting new patients |
Locations
4850 W Oakland Park Blvd
Ste 115
Lauderdale Lakes, FL 33313
Phone (954) 486-8663
1600 11th St
Wichita Falls, TX 76301
Phone (940) 263-3000
1631 11th St
Unit B
Wichita Falls, TX 76301
Phone (940) 263-3000
Interoperability endpoints
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- jabraham77739@unitedregional.medalliesdirect.net
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hospitalist Physician
- Wichita Falls, TX
- NPI 1699285346
-
dba Intercare Clinic
- Family Nurse Practitioner
- Lauderdale Lakes, FL
- NPI 1114640778
-
dba United Regional Heath Care System
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Graham Regional Medical Center
- Critical Access Hospital
- Graham, TX
- NPI 1063113983
-
dba United Regional Heath Care System
- General Acute Care Hospital
- Wichita Falls, TX
- NPI 1023013448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1023699691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 11TH STREET",
"address_2": "UNIT B",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763013046",
"telephone_number": "940-263-3000",
"fax_number": "940-263-3018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 11TH STREET",
"address_2": "UNIT B",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "76301",
"telephone_number": "940-263-3000",
"fax_number": "940-263-3018"
}
],
"practiceLocations": [
{
"address_1": "1600 S Andrews Ave",
"address_purpose": "LOCATION",
"city": "Fort Lauderdale",
"state": "FL",
"postal_code": "333162510",
"country_code": "US",
"telephone_number": "954-355-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAHAM",
"first_name": "JASON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-15",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "U9801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.