Active NPI
Nirmala Rose Abraham, MD
- Pain Medicine Physician
- Miamisburg, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 35.096133
- Practice address
- 4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615 - Phone
- (937) 384-4511
- Fax
- (937) 384-3837
- NPI assigned
- Jun 6, 2006
- Last updated
- Oct 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A78127 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 35.096133 | OH | |
| Pain Medicine Physician | 208VP0000X | 35.096133 | OH | Primary |
Addresses
Primary practice location
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
Mailing address
4000 Miamisburg Centerville Rd
Physician Office Building, Suite 420
Miamisburg, OH 45342-7615
Phone (937) 384-4511
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A781270 | Other | CA | BLUE SHIELD OF CA |
| P00087619 | Other | CA | RR MEDICARE |
| 00A781270303 | Other | CA | CALOPTIMA |
| 3109488 | Medicaid | OH | |
| 00A781270 | Medicaid | CA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nabraham144312@direct.ketteringhealth.org | ||
| FHIR URL | https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Loma Linda University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342-7615
4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309
4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751
Hospital & facility affiliations
- Kettering Health Miamisburg
- Kettering Health Dayton
- Kettering Health Main Campus
- Miami Valley Hospital
- Kettering Health Greene Memorial
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.34 of 100
- Quality
- 63.67
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kettering Independent Medical Group Inc | Current | Accepting new patients |
Locations
4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910
1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306
4000 Miamisburg Centerville Rd
Miamisburg, OH 45342
Phone (937) 384-8791
4000 Miamisburg Centerville Rd
Ofc
Miamisburg, OH 45342
4000 Miamisburg Centerville Rd
Ste 420
Miamisburg, OH 45342
Phone (937) 384-4511
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kettering Health Dayton
- General Acute Care Hospital
- Dayton, OH
- NPI 1053339507
-
dba Kettering Health Greene Memorial
- General Acute Care Hospital
- Xenia, OH
- NPI 1255317848
-
dba Kettering Health Main Campus
- General Acute Care Hospital
- Kettering, OH
- NPI 1043233984
-
dba Kettering Health Miamisburg
- General Acute Care Hospital
- Miamisburg, OH
- NPI 1316966518
-
- General Acute Care Hospital
- Dayton, OH
- NPI 1073688354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1043259971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 MIAMISBURG CENTERVILLE RD",
"address_2": "PHYSICIAN OFFICE BUILDING, SUITE 420",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453427615",
"telephone_number": "937-384-4511",
"fax_number": "937-384-3837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 MIAMISBURG CENTERVILLE RD",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453427615",
"telephone_number": "937-384-4511",
"fax_number": "937-384-3837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "NIRMALA",
"middle_name": "ROSE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A78127",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "OH",
"license": "35.096133",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "OH",
"license": "35.096133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "00A781270",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00087619",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALOPTIMA",
"identifier": "00A781270303",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3109488",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A781270",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nabraham144312@direct.ketteringhealth.org",
"affiliation": "N",
"address_1": "4000 Miamisburg Centerville Rd",
"address_2": "Physician Office Building, Suite 420",
"city": "Miamisburg",
"state": "OH",
"country_code": "US",
"postal_code": "453427615",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "4000 Miamisburg Centerville Rd",
"address_2": "Physician Office Building, Suite 420",
"city": "Miamisburg",
"state": "OH",
"country_code": "US",
"postal_code": "453427615",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miamisburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.