Peter Voss Abraham, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

O-0988 Issued in ID

Practice address

507 S Fitness PL
Suite 110
Eagle, ID 83616-6552

Phone

(208) 947-0925

Fax

(208) 947-0926

NPI assigned

Jun 27, 2013

Last updated

Dec 14, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2019 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Treasure Valley Pelvic Health, LLC

  • Physical Therapist
  • Eagle, ID
  • NPI 1689178469
  NPD
• Peine Osteopathic Medicine PLLC

  • Family Medicine Physician
  • Eagle, ID
  • NPI 1306010046
  NPD (past)

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481673600000",
    "number": "1043650633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S FITNESS PL",
            "address_2": "SUITE 110",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166552",
            "telephone_number": "208-947-0925",
            "fax_number": "208-947-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S FITNESS PL",
            "address_2": "SUITE 110",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166552",
            "telephone_number": "208-947-0925",
            "fax_number": "208-947-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "PETER",
        "middle_name": "VOSS",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2016-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "7859",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-0988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A New Beginning Counseling Center, PC.
• A New Beginning Health and Healing Center
• Caitlin Abbott
• Abide Care Services LLC
• Jamie Achenbach
• Achs Hospice & Palliative Care, LLC
• Achs Hospice & Pallitive Care LLC (Caring Edge O P)
• Adams Eyecare Inc (Adam's Eyecare)
• Jyl E Adams, LCSW

• Family Medicine Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.