Individual provider Active NPI

Ruben B Abrams, MD

  • Plastic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1063549491
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A41164 Issued in CA
Practice address
9301 Wilshire Blvd Ste 402
Beverly Hills, CA 90210-6134
Phone
(310) 276-7777
Fax
(310) 388-5258
NPI assigned
Feb 27, 2007
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A41164 CA Primary

Addresses

Primary practice location

9301 Wilshire Blvd Ste 402
Beverly Hills, CA 90210-6134

Mailing address

9301 Wilshire Blvd Ste 402
Beverly Hills, CA 90210-6134
Phone (310) 276-7777

Other identifiers 1

IdentifierTypeStateIssuer
1063549491MedicaidCA

Other names 1

  • Dr. Ruben B Abrams Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240319001248 CA Practitioner - Plastic and Reconstructive Surgery 7911344536 Practice locations: Beverly Hills, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A41164CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thasana Nivatpumin, M.D., Inc. CurrentSince May 22, 2022 Accepting new patients

Locations

9301 Wilshire Blvd
Ste 402
Beverly Hills, CA 90210
Phone (310) 271-7012

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1063549491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 402",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106134",
            "telephone_number": "310-276-7777",
            "fax_number": "310-388-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD STE 402",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106134",
            "telephone_number": "310-276-7777",
            "fax_number": "310-388-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "RUBEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A41164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063549491",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBEN",
            "last_name": "ABRAMS",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.