Active NPI
Dana C Abraham, M.D.
- Surgery Physician
- Little Rock, AR
National Provider Identifier
1164468567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C7650
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1474900000 | Other | AR | QUALCHOICE OF ARKANSAS |
| 130763001 | Medicaid | AR | |
| A5801088 | Other | AR | AETNA 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Baptist Health Medical Center-Little Rock
- Conway Regional Medical Center, Inc
- White River Medical Center
- Saline Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.91 of 100
- Quality
- 86.27
- Improvement activities
- 40
- Cost
- 78.02
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 179 |
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Behavioral Center (Abc), LLC | Past | Accepting new patients | |
| Surgical Clinic, PA | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Community/Behavioral Health Agency
- Little Rock, AR
- NPI 1457609869
-
- Specialist
- Little Rock, AR
- NPI 1386698959
Hospital & facility affiliations 25
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Little Rock, AR
- NPI 1942260609
Hospital
-
- Family Medicine Physician
- Russellville, AR
- NPI 1245729359
Hospital
-
- Rural Health Clinic/Center
- Mayflower, AR
- NPI 1851389605
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.