Abigail R Neiman MD PA

Organization Active NPI Rheumatology Physician · Houston, TX

NPI 1154522795 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1154522795
Entity type
Organization (NPI type 2)
Primary specialty
Rheumatology Physician 207RR0500X
License
K9626 (TX)
Legal business name
ABIGAIL R NEIMAN MD PA
Practice address
8830 Long Point Rd
Ste 105
Houston, TX 77055-3040
Phone
(713) 932-0054
NPI assigned
May 30, 2007
Organization subpart
No

Authorized official

Name
Abigail Rebecca Neiman, MD NPI 1043280381
Title
Owner
Phone
(713) 932-0054

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060118000315 TX Part B Supplier - Clinic/Group Practice 2466476411 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

Locations

8830 Long Point Rd
Ste 801
Houston, TX 77055
Phone (713) 932-0054

902 Frostwood Dr
Ste 311
Houston, TX 77024
Phone (713) 932-0054

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEIFDD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RR0500X K9626 TX Yes

Addresses

Primary practice location

8830 Long Point Rd
Ste 105
Houston, TX 77055-3040

Mailing address

8830 Long Point Rd
Ste 105
Houston, TX 77055-3040
Phone (713) 932-0054

Other identifiers

IdentifierTypeStateIssuer
1428364OtherTXHM BCBS
0002JEOtherTXBCBS
7715345OtherTXAETNA
00063062OtherTXBLUELINK

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154522795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 LONG POINT RD",
            "address_2": "STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553040",
            "telephone_number": "713-932-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8830 LONG POINT RD",
            "address_2": "STE 105",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553040",
            "telephone_number": "713-932-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIGAIL R NEIMAN MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEIMAN",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-932-0054",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "K9626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HM BCBS",
            "identifier": "1428364",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0002JE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7715345",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUELINK",
            "identifier": "00063062",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

All providers in Houston, TX · Rheumatology Physician in Texas

Sources for this page

Verify at the official NPI Registry.