Sonu Susan Abraham, M.D.
Individual provider Active NPI Advanced Heart Failure and Transplant Cardiology Physician · Lexington, KY
NPI 1164975835 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1164975835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X
- License
- 59310 (KY)
- Practice address
- 800 Rose St
Lexington, KY 40536-3055 - Phone
- (859) 323-0295
- Fax
- (859) 323-1256
- NPI assigned
- Jul 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Advanced Heart Failure and Transplant Cardiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kentucky Medical Services Foundation, Inc
Practice addresses (Care Compare)
800 Rose St
Lexington, KY 40536-0001
Phone (859) 323-5000
Hospital & facility affiliations
- University of Kentucky Hospital
- Baptist Health Louisville
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.77 of 100
- Quality
- 68.25
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.39
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240828005108 | KY | Practitioner - Advanced Heart Failure and Transplant Cardiology |
1557640448 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.165080 | IL | MD | Advanced Heart Failure and Transplant Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Kentucky | Internal Medicine | Current |
Accepting new patients |
| Kentucky Medical Services Foundation, Inc | Internal Medicine | Current |
Accepting new patients |
| University of Kentucky | Past | Accepting new patients |
Locations
2400 Greatstone Pt
Lexington, KY 40504
Phone (859) 257-9800
800 Rose St
Lexington, KY 40536
Phone (859) 257-8562
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 267481 | MA | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 036.165080 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 59310 | KY | |
| Cardiovascular Disease Physician | 207RC0000X | 036.165080 | IL | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | 59310 | KY | Yes |
Addresses
Primary practice location
800 Rose St
Lexington, KY 40536-3055
Mailing address
251 E Huron St
Chicago, IL 60611-3055
Phone (508) 333-7896
Other practice location 1
251 E Huron St
Chicago, IL 60611-3055
Phone (508) 333-7896
Other providers in Lexington, KY
- Richard Anthony Abney
- Michelle Mary Abou-Jaoude
- Walid A Abou-Jaoude
- Diana Abougalieva
- Andrew T Abraham
- Randa M Abrahim
- Grejika E Abram-Erby
- Dee Anne Abrams
- Elizabeth Jo Abrams
- Loretta Alice Abrams
All providers in Lexington, KY · Advanced Heart Failure and Transplant Cardiology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.