Organization Active NPI

Micha Abeles MD

  • Rheumatology Physician
  • Meriden, CT
National Provider Identifier
1124118526
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
020484 Issued in CT
Legal business name
MICHA ABELES MD
Practice address
816 Broad St
BLDG 2, Suite 14
Meriden, CT 06450-4350
Phone
(203) 235-6402
NPI assigned
Oct 14, 2006
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
Dr. Micha Abeles, MDNPI 1497751556
Title
Partner
Phone
(203) 235-6402

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 020484 CT Primary

Addresses

Primary practice location

816 Broad St
BLDG 2, Suite 14
Meriden, CT 06450-4350

Mailing address

816 Broad St
BLDG 2, Suite 14
Meriden, CT 06450-4350
Phone (203) 235-6402

Other identifiers 1

IdentifierTypeStateIssuer
1204841MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050726000463 CT Part B Supplier - Clinic/Group Practice 7911934518 Receives reassigned benefits from 2 practitioners
Practice locations: Meriden, CT

National Provider Directory

National Provider Directory

Locations

377 Broad St
Meriden, CT 06450
Phone (203) 235-6402

816 Broad St
Ste 14
Meriden, CT 06450
Phone (203) 235-6402

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1124118526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 BROAD ST",
            "address_2": "BLDG 2, SUITE 14",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504350",
            "telephone_number": "203-235-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 BROAD ST",
            "address_2": "BLDG 2, SUITE 14",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504350",
            "telephone_number": "203-235-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHA ABELES MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-14",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "ABELES",
        "authorized_official_first_name": "MICHA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "203-235-6402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CT",
            "license": "020484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1204841",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.