Individual provider Active NPI

Abraham Walusimbi, MD

  • Internal Medicine Physician
  • Pawtucket, RI
National Provider Identifier
1063939007
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
LP04142 Issued in RI
Practice address
111 Brewster Street
Pawtucket, RI 02860
Phone
(401) 729-2258
Fax
(401) 729-3343
NPI assigned
Aug 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD61294274 WA
Internal Medicine Physician 207R00000X MD51229 AL
Internal Medicine Physician 207R00000X LP04142 RI Primary

Addresses

Primary practice location

111 Brewster Street
Pawtucket, RI 02860

Mailing address

111 Brewster St
Pawtucket, RI 02860-4474
Phone (401) 729-2258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, FL, LA, TN, GA, AL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20220516001879 WA Practitioner - Internal Medicine 3577823210 Reassigns benefits to 1 organization
I20250718000847 FL Practitioner - Internal Medicine 3577823210 Reassigns benefits to 2 organizations
I20250728001201 LA Practitioner - Internal Medicine 3577823210 Reassigns benefits to 1 organization
I20250821003257 TN Practitioner - Internal Medicine 3577823210 Reassigns benefits to 1 organization
I20260115002858 GA Practitioner - Internal Medicine 3577823210 Reassigns benefits to 1 organization
I20260515001060 AL Practitioner - Internal Medicine 3577823210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians

Practice addresses (Care Compare)

2010 Brookwood Med Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 877-1000

2520 Cherry Ave
Bremerton, WA 98310-4229
Phone (360) 377-3911

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-3232

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-5000

6300 Main St
Zachary, LA 70791-4037
Phone (225) 658-4000

Hospital & facility affiliations

  • Doctors Hospital Hospital, Augusta, GA, CCN 110177
  • Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020
  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • Baptist Health Brookwood Hospital Hospital, Birmingham, AL, CCN 010139
  • Physicians Regional Medical Center Hospital, Powell, TN, CCN 440120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD51229ALMDInternal Medicine Physician
MD61294274WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Sep 1, 2025 Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 1, 2025 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Commonspirit Washington Community Care Past Accepting new patients
Doctors Hospital of Augusta LLC Past Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Past Accepting new patients

Locations

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Interoperability endpoints

  • Direct secure messaging: abraham.walusimbi@xdr.hhchealthdirect.org
  • Direct secure messaging: awalusimbi5343608@direct.casso.us.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1063939007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BREWSTER ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604474",
            "telephone_number": "401-729-2258",
            "fax_number": "401-729-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BREWSTER STREET",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-729-2258",
            "fax_number": "401-729-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALUSIMBI",
        "first_name": "ABRAHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-29",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61294274",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "MD51229",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "RI",
            "license": "LP04142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

Verify at the official NPI Registry.