NPIMap

Individual provider Active NPI

Abrham Tekola, MD

  • Family Medicine Physician
  • Carmichael, CA
National Provider Identifier
1083705461
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A50974 Issued in CA
Practice address
5740 Windmill Way
Suite # 5
Carmichael, CA 95608-1379
Phone
(916) 480-0506
Fax
(916) 480-0609
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A50974 CA Primary

Addresses

Primary practice location

5740 Windmill Way
Suite # 5
Carmichael, CA 95608-1379

Mailing address

5740 Windmill Way
Suite # 5
Carmichael, CA 95608-1379
Phone (916) 480-0506

Other identifiers 1

IdentifierTypeStateIssuer
00A509740MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070924000287 CA Practitioner - Family Practice 6507950318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5740 Windmill Way
Suite 5
Carmichael, CA 95608-1379
Phone (916) 480-0506

Hospital & facility affiliations

  • Your Choice Home Health, Inc Home health agency, Rancho Cordova, CA, CCN 053168
  • Alars Home Health, LLC Home health agency, Sacramento, CA, CCN 059609
  • Mercy Home Health Home health agency, Rancho Cordova, CA, CCN 057631
  • American River Home Care Home health agency, Sacramento, CA, CCN 059665
  • Sutter Care at Home Home health agency, Roseville, CA, CCN 057545
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A50974CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abrham Tekola M.D. Inc Family Medicine CurrentSince May 7, 2007 Accepting new patients
Creative Perspectives, Inc. Past Accepting new patients

Locations

5740 Windmill Way
Ste 5
Carmichael, CA 95608
Phone (916) 480-0506

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elica Health CentersSacramento, CA, CCN 551093 Federally qualified health center Corporate Officer
Corporate Director		 Oct 25, 2017
Oct 25, 2017
Elica Health Centers-Halyard Medical CenterWest Sacramento, CA, CCN 921159 Federally qualified health center Corporate Director Oct 25, 2017
Elica Health CentersNorth Highlands, CA, CCN A01034 Federally qualified health center Corporate Officer Oct 25, 2017

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 6

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1083705461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 WINDMILL WAY",
            "address_2": "SUITE # 5",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081379",
            "telephone_number": "916-480-0506",
            "fax_number": "916-480-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 WINDMILL WAY",
            "address_2": "SUITE # 5",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081379",
            "telephone_number": "916-480-0506",
            "fax_number": "916-480-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKOLA",
        "first_name": "ABRHAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A50974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A509740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.