NPIMap

Individual provider Active NPI

Abraham S John, MD

  • Family Medicine Physician
  • Pasadena, TX
National Provider Identifier
1184707887
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L7430 Issued in TX
Practice address
5030 Crenshaw Rd
Suite 120
Pasadena, TX 77505-3140
Phone
(832) 448-6081
Fax
(832) 448-6091
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L7430 TX Primary

Addresses

Primary practice location

5030 Crenshaw Rd
Suite 120
Pasadena, TX 77505-3140

Mailing address

5030 Crenshaw Rd
Suite 120
Pasadena, TX 77505-3140
Phone (832) 448-6081

Other identifiers 1

IdentifierTypeStateIssuer
181889001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040506000226 TX Practitioner - Family Practice 6002804044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PCP Associates of Pasadena PAGroup PAC ID 8527056522, 5 clinicians

Practice addresses (Care Compare)

5030 Crenshaw Rd
Suite 120
Pasadena, TX 77505-3141
Phone (713) 943-8229

Hospital & facility affiliations

  • Traditions Health Home health agency, Tomball, TX, CCN 458141
  • Living Hope Home Healthcare Home health agency, Houston, TX, CCN 743196
  • Doctor'S Choice Home Care Home health agency, Houston, TX, CCN 678169
  • Ipr Healthcare Systems, Inc Home health agency, Houston, TX, CCN 458306
  • All About Home Care, Inc. Home health agency, Houston, TX, CCN 679454
  • St Luke'S Patients Medical Center Hospital, Pasadena, TX, CCN 670031
  • HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097
  • Memorial Hermann Houston Physicians Hospital Hospital, Webster, TX, CCN 670008
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PCP Associates of Pasadena PA Family Medicine CurrentSince Sep 1, 2003 Accepting new patients

Locations

4102 Woodlawn Ave
Ste 150
Pasadena, TX 77504
Phone (713) 943-8229

5030 Crenshaw Rd
Ste 120
Pasadena, TX 77505
Phone (713) 943-8229

Interoperability endpoints

  • Direct secure messaging: ajohn468724@direct.stlukeshealth.org

Organizations & group practices 1

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437696000000",
    "number": "1184707887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CRENSHAW RD",
            "address_2": "SUITE 120",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053140",
            "telephone_number": "832-448-6081",
            "fax_number": "832-448-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CRENSHAW RD",
            "address_2": "SUITE 120",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053140",
            "telephone_number": "832-448-6081",
            "fax_number": "832-448-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "ABRAHAM",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181889001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

Verify at the official NPI Registry.