NPIMap

Individual provider Active NPI

Nurelign G. Abebe, M.D.

  • Nephrology Physician
  • Rolla, MO
National Provider Identifier
1154587038
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2011018206 Issued in MO
Practice address
1050 West 10TH Street
Rolla, MO 65401
Phone
(573) 364-9000
Fax
(573) 458-8489
NPI assigned
Jul 31, 2008
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 2011018206 MO
Nephrology Physician 207RN0300X 2011018206 MO Primary

Addresses

Primary practice location

1050 West 10TH Street
Rolla, MO 65401

Mailing address

1050 W 10TH St
Rolla, MO 65401-2905
Phone (573) 364-9000

Other practice location 1

1000 Gw Ln
Waynesville, MO 65583-2339
Phone (573) 774-2715

Other practice location 2

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 364-9000

Other practice location 3

1000 W 10th St
Rolla, MO 65401-2905
Phone (573) 458-7639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20110601000647 MO Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Emergency Medicine 3173700077 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pcrmc Medical Group IncGroup PAC ID 1557454063, 113 clinicians

Practice addresses (Care Compare)

1000 GW LN
Waynesville, MO 65583-2339
Phone (573) 774-2715

1000 N Jefferson St
Saint James, MO 65559-1078
Phone (573) 265-8840

1050 W 10TH St
Suite 510
Rolla, MO 65401-2905
Phone (573) 364-9000

700 Birch LN
Waynesville, MO 65583-2275
Phone (573) 774-6456

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pcrmc Medical Group, Inc Nephrology Current Accepting new patients
Cole Physician Services LLC Hospitalist CurrentSince May 9, 2015 Accepting new patients
Phelps County Regional Medical Center CurrentSince Jun 26, 2011 Accepting new patients
Phelps County Regional Medical Center CurrentSince Jun 26, 2011 Accepting new patients
Phelps County Regional Medical Center CurrentSince Dec 16, 2023 Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

620 E Monroe St
Mexico, MO 65265
Phone (573) 582-5000

1000 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1050 W 10th St
Rolla, MO 65401
Phone (573) 364-9000

1050 W 10th St
Ste 430
Rolla, MO 65401
Phone (573) 364-9000

1050 W 10th St
Ste 510
Rolla, MO 65401
Phone (573) 426-2229

1000 Gw Ln
Waynesville, MO 65583
Phone (573) 774-2715

Interoperability endpoints

  • Direct secure messaging: nabebe152713@direct-ehr-ssmhc.com

Organizations & group practices 6

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 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1154587038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W 10TH ST",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012905",
            "telephone_number": "573-364-9000",
            "fax_number": "573-426-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 WEST 10TH STREET",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "65401",
            "telephone_number": "573-364-9000",
            "fax_number": "573-458-8489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Gw Ln",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "MO",
            "postal_code": "655832339",
            "country_code": "US",
            "telephone_number": "573-774-2715",
            "fax_number": "573-202-2410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-364-9000",
            "fax_number": "573-202-2484",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654012905",
            "country_code": "US",
            "telephone_number": "573-458-7639",
            "fax_number": "573-341-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABEBE",
        "first_name": "NURELIGN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-31",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2011018206",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2011018206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolla, MO

Sources for this page

Verify at the official NPI Registry.