Individual provider Active NPI

Dana C Abraham, M.D.

  • Surgery Physician
  • Little Rock, AR
National Provider Identifier
1164468567
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C7650 Issued in AR
Practice address
500 S University Ave
Suite 816
Little Rock, AR 72205-5302
Phone
(501) 492-2600
Fax
(501) 492-2601
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C7650 AR Primary

Addresses

Primary practice location

500 S University Ave
Suite 816
Little Rock, AR 72205-5302

Mailing address

500 S University Ave
Suite 816
Little Rock, AR 72205-5302
Phone (501) 492-2600

Other identifiers 3

IdentifierTypeStateIssuer
1474900000OtherARQUALCHOICE OF ARKANSAS
130763001MedicaidAR
A5801088OtherARAETNA INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20071101000732 AR Practitioner - Surgical Oncology 9638101181 Practice locations: Little Rock, AR

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 S University Ave
Suite 816
Little Rock, AR 72205-5310

Hospital & facility affiliations

  • Arkansas Surgical Hospital Hospital, No Little Rock, AR, CCN 040147
  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
  • Conway Regional Medical Center, Inc Hospital, Conway, AR, CCN 040029
  • White River Medical Center Hospital, Batesville, AR, CCN 040119
  • Saline Memorial Hospital Hospital, Benton, AR, CCN 040084

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as individual
Quality
86.27
Improvement activities
40
Cost
78.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy179
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Behavioral Center (Abc), LLC Past Accepting new patients
Surgical Clinic, PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dana.abraham.1@6323.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1164468567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE 816",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-492-2600",
            "fax_number": "501-492-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S UNIVERSITY AVE",
            "address_2": "SUITE 816",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055302",
            "telephone_number": "501-492-2600",
            "fax_number": "501-492-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "DANA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "C7650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE OF ARKANSAS",
            "identifier": "1474900000",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130763001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "A5801088",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.