Individual provider Active NPI

Julius Abam

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, TX
National Provider Identifier
1215537857
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1018320 Issued in TX
Practice address
634 Rustic TRL
Midlothian, TX 76065-2267
Phone
(832) 259-9867
NPI assigned
Oct 30, 2020
Last updated
Oct 30, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1018320 TX Primary

Addresses

Primary practice location

634 Rustic TRL
Midlothian, TX 76065-2267

Mailing address

634 Rustic TRL
Midlothian, TX 76065-2267
Phone (832) 259-9867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230307000175 NH Practitioner - Nurse Practitioner 0749653160 Reassigns benefits to 1 organization
I20240423001217 MA Practitioner - Nurse Practitioner 0749653160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.75 of 100Reported as group
Quality
92.55
Improvement activities
40
Cost
79.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1018320TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Hospital CurrentSince Jan 19, 2023 Accepting new patients
Uhs of Fuller Inc Psychiatric/Mental Health CurrentSince Mar 6, 2024 Accepting new patients
Cottage Hospital CurrentSince Jan 19, 2023 Accepting new patients
Uhs of Westwood Pembroke Inc CurrentSince Nov 15, 2024 Accepting new patients
Joche Healthcare Psychiatric/Mental Health CurrentSince Apr 30, 2023 Accepting new patients

Locations

199 Oak St
Pembroke, MA 02359
Phone (781) 829-7000

200 May St
South Attleboro, MA 02703
Phone (508) 761-8500

103 Swiftwater Rd
Woodsville, NH 03785
Phone (603) 747-2900

90 Swiftwater Rd
Woodsville, NH 03785
Phone (603) 747-9000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604016000000",
    "number": "1215537857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 RUSTIC TRL",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760652267",
            "telephone_number": "832-259-9867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 RUSTIC TRL",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760652267",
            "telephone_number": "832-259-9867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAM",
        "first_name": "JULIUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1018320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

Verify at the official NPI Registry.