Abraham M Obuchowski, MD

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

ME109182 Issued in FL

Practice address

5301 South Congress Ave
Atlantis, FL 33462

Phone

(561) 548-3727

Fax

(561) 548-1238

NPI assigned

Sep 16, 2005

Last updated

Mar 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Diagnostic Radiology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Mori Bean and Brooks Inc

  dba Coastal Vein Vascular Institute

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  Neuroradiology

  Medicare reassignment Care Compare group NPD
• David L Bloom PA

  dba Accesible MRI of Baltimore County

  • Diagnostic Radiology Physician
  • Towson, MD
  • NPI 1336132901
  NPD (past)
• David L Bloom PA

  dba Seabrook Radiological Center

  • Diagnostic Radiology Physician
  • Seabrook, MD
  • NPI 1396738704
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Shipley's Imaging, LLC

  • Diagnostic Radiology Physician
  • Millersville, MD
  • NPI 1861476343
  NPD (past)
• University Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1245245307

  Neuroradiology

  NPD (past)
• University Imaging Center, LLC

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1992511265

  Neuroradiology

  NPD (past)
• University Imaging Specialists

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1508819889
  NPD (past)
• University of Maryland Diagnostic Imaging Specialists P a

  • Diagnostic Radiology Physician
  • Baltimore, MD
  • NPI 1154335487

  Neuroradiology

  NPD (past)

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

• JFK Medical Center Limited Partnership

  dba HCA Florida JFK Hospital

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1033104971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 WEST SUNRISE BLVD",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33322",
            "telephone_number": "866-957-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 SOUTH CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "561-548-3727",
            "fax_number": "561-548-1238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1771",
            "fax_number": "321-434-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBUCHOWSKI",
        "first_name": "ABRAHAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "FL",
            "license": "ME109182",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "ME109182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "14C42",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL HFMG MEDICARE",
            "identifier": "KK383",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL MEDICARE",
            "identifier": "P02366621",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3305800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose Ignacio Nolazco, MD, MMSC
• Norman C Sudduth MD PA (Pathology Consultants of the Palm Beaches)
• Courtney Novello, CCP
• Andrew P O'Halloran, D.O.
• Eileen O'Hara, CRNA
• Uchechukwu Ohijie Ogbonna, MD
• Kayode Olowe, M.D.
• Oncology Specialists of the Palm Beaches LLC
• Julieta Mariana Oneto, MD
• Origins of Hope LLC

• Neuroradiology Physician in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Neuroradiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.

Verify at the official NPI Registry.