Individual provider Active NPI

Abas M Jama, MD

  • Psychiatry Physician
  • Sandusky, OH
National Provider Identifier
1073779492
Registry record updated Jan 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35095167 Issued in OH
Practice address
1221 Hayes Ave
Suite J
Sandusky, OH 44870-3345
Phone
(419) 557-6787
Fax
(419) 621-0127
NPI assigned
Aug 5, 2008
Last updated
Jan 3, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35095167 OH Primary

Addresses

Primary practice location

1221 Hayes Ave
Suite J
Sandusky, OH 44870-3345

Mailing address

1031 Pierce St
Suite D
Sandusky, OH 44870-4669
Phone (419) 557-5541

Other identifiers 1

IdentifierTypeStateIssuer
3050479MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100721000423 OH Practitioner - Psychiatry 7618009036 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Bayshore Counseling Services IncGroup PAC ID 7315903853, 3 clinicians

Practice addresses (Care Compare)

1634 Sycamore Line
Sandusky, OH 44870-4132
Phone (419) 626-9256

930 S Detroit Ave
Toledo, OH 43614-2701
Phone (419) 381-1881

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35095167OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Apr 1, 2017 Accepting new patients
Global Wellness Center LLC Psychiatry CurrentSince Jul 19, 2019 Accepting new patients
Global Wellness Center LLC CurrentSince Jan 1, 2019 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Apr 1, 2017 Accepting new patients
Bayshore Counseling Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Bayshore Counseling Services, Inc. Past Accepting new patients
Steward Medical Group, Inc PastSince May 1, 2016 Accepting new patients

Locations

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

3350 Cleveland Ave
Ste 1964
Columbus, OH 43224
Phone (614) 523-2929

1634 Sycamore Line
Sandusky, OH 44870
Phone (419) 626-9156

930 S Detroit Ave
Toledo, OH 43614
Phone (419) 381-1881

Interoperability endpoints

  • Direct secure messaging: ajama25396@mhas.direct-ci.com

Organizations & group practices 8

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357171200000",
    "number": "1073779492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 PIERCE ST",
            "address_2": "SUITE D",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704669",
            "telephone_number": "419-557-5541",
            "fax_number": "419-557-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 HAYES AVE",
            "address_2": "SUITE J",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448703345",
            "telephone_number": "419-557-6787",
            "fax_number": "419-621-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMA",
        "first_name": "ABAS",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2013-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35095167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3050479",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

Verify at the official NPI Registry.