Individual provider Active NPI

Alber R Abrahim, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1124063680
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K6521 Issued in TX
Practice address
10851 Scarsdale Blvd
Houston, TX 77089-5714
Phone
(281) 481-9595
Fax
(281) 481-0692
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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 K6521 TX Primary

Addresses

Primary practice location

10851 Scarsdale Blvd
Houston, TX 77089-5714

Mailing address

16811 Middle Forest Dr
Houston, TX 77059-4033
Phone (281) 481-9595

Other identifiers 3

IdentifierTypeStateIssuer
137361502MedicaidTX
137361501MedicaidTX
137361512MedicaidTX

Other names 1

  • Dr. Alber R Abrahim Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040719000358 TX Practitioner - Family Practice 6901885326 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12880 Beamer Rd
D
Houston, TX 77089-5714

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6521TXMDFamily Medicine Physician
33408TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Medical Care, PA Past Accepting new patients
Community Outreach Clinic Family Medicine Past Accepting new patients
Upright MRI of Clearlake LLC Past Accepting new patients
Southeast Emergency Physician Associates, P.a. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1124063680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16811 MIDDLE FOREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770594033",
            "telephone_number": "281-481-9595",
            "fax_number": "281-481-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10851 SCARSDALE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770895714",
            "telephone_number": "281-481-9595",
            "fax_number": "281-481-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHIM",
        "first_name": "ALBER",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K6521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137361502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137361501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137361512",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALBER",
            "last_name": "ABRAHIM",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.