Shaun A Abraham, M.D.
Individual provider Active NPI Hospitalist Physician · Baton Rouge, LA
NPI 1174883722 · NPPES record last updated Jul 5, 2024
Key facts
- NPI
- 1174883722
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 207910 (LA)
- Practice address
- 5000 Hennessy Blvd
Baton Rouge, LA 70808-4375 - Phone
- (225) 765-4050
- Fax
- (225) 765-4046
- NPI assigned
- May 16, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Our Lady of the Lake Physician Group LLC
Practice addresses (Care Compare)
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-4050
Hospital & facility affiliations
- Our Lady of the Lake Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA, FL
- 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 |
|---|---|---|---|---|
| I20150928001574 | LA | Practitioner - Internal Medicine | 8527376300 | Reassigns benefits to 1 organization |
| I20240215000447 | FL | Practitioner - Hospitalist |
8527376300 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME165940 | FL | MD | Internal Medicine Physician |
| 207910 | LA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Internal Medicine | Current |
Accepting new patients |
| Our Lady of the Lake Physician Group LLC | Current |
Accepting new patients | |
| M & H Med Housecalls, LLC | Internal Medicine | Current |
Accepting new patients |
| Cape Coral Hospitalists Inc | Internal Medicine | Current |
Accepting new patients |
| Our Lady of the Lake Hospital Inc. | Past | Accepting new patients |
Locations
1407 Viscaya Pkwy
Ste 2
Cape Coral, FL 33990
Phone (239) 772-0111
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
2051 Silverside Dr
Ste 260
Baton Rouge, LA 70808
Phone (225) 490-6301
1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975
Interoperability endpoints
- sabraham15948@direct.casso.us.com
- https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME165940 | FL | |
| Hospitalist Physician | 208M00000X | 207910 | LA | Yes |
Addresses
Primary practice location
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Mailing address
10142 Sweetgrass Cir Unit 412
Naples, FL 34104-0927
Phone (917) 803-0298
Other practice location 1
13607 Pine Villa Ln
Fort Myers, FL 33912-1617
Phone (225) 765-4050
Other practice location 2
1407 Viscaya Pkwy Ste 2
Cape Coral, FL 33990-6200
Phone (239) 772-0111
Other providers in Baton Rouge, LA
- Above and Beyond Providers LLC
- Above and Beyond Providers LLC
- Above and Beyond Transportation Services LLC
- Abp Diagnostics, LLC
- Patricia Pipes Abraham
- Brianna Abrams
- Margaret Ann Abrams
- Mathew Abrams Jr.
- Abrc Professional Group, LLC
- Natalie Viator Abshier
All providers in Baton Rouge, LA · Hospitalist Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 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.