Individual provider Active NPI

Mathew J Abraham, MD

  • Physical Medicine & Rehabilitation Physician
  • Blue Bell, PA
National Provider Identifier
1083818512
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD441402 Issued in PA
Practice address
725 Skippack Pike
Suite #130
Blue Bell, PA 19422-1741
Phone
(267) 462-4505
Fax
(267) 462-4504
NPI assigned
Jun 11, 2007
Last updated
Dec 16, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD441402 PA Primary

Addresses

Primary practice location

725 Skippack Pike
Suite #130
Blue Bell, PA 19422-1741

Mailing address

725 Skippack Pike
Suite #130
Blue Bell, PA 19422-1741
Phone (267) 462-4505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20110826000188 PA Practitioner - Physical Medicine and Rehabilitation 3971773110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Wayne State University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Oasis Interventional Spine Care LLCGroup PAC ID 7618283417, 2 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

725 Skippack Pike
Suite 345
Blue Bell, PA 19422-1752
Phone (267) 462-4505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD441402PAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Interventional Spine Care, LLC Physical Medicine & Rehabilitation CurrentSince Sep 1, 2015 Accepting new patients
Advanced Pain Management Specialists, LLC Past Accepting new patients
Wellness Coaches USA LLC PastSince Jan 1, 2023 Accepting new patients

Locations

725 Skippack Pike
Ste 130
Blue Bell, PA 19422
Phone (215) 591-0700

725 Skippack Pike
Ste 345
Blue Bell, PA 19422
Phone (215) 628-4454

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450224000000",
    "number": "1083818512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SKIPPACK PIKE",
            "address_2": "SUITE #130",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221741",
            "telephone_number": "267-462-4505",
            "fax_number": "267-462-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SKIPPACK PIKE",
            "address_2": "SUITE #130",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194221741",
            "telephone_number": "267-462-4505",
            "fax_number": "267-462-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "MATHEW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2015-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD441402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

Verify at the official NPI Registry.