David Pothen Abraham, DO
Individual provider Active NPI Internal Medicine Physician · Mount Vernon, WA
NPI 1215565692 · NPPES record last updated Nov 19, 2024
Key facts
- NPI
- 1215565692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- OP61416743 (WA)
- Practice address
- 1801 E Division St
Mount Vernon, WA 98274-4632 - Phone
- (360) 424-4410
- Fax
- (360) 424-0749
- NPI assigned
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Public Hospital Dist No 1 Skagit
Practice addresses (Care Compare)
110 N Laventure Rd
Suite C
Mount Vernon, WA 98273-3901
Phone (360) 399-7700
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500
1801 E Division St
Mount Vernon, WA 98274-4632
Phone (360) 424-4410
Hospital & facility affiliations
- Alpha Home Health
- Eden Home Health
- Signature Healthcare at Home
- Skagit Valley Hospital
- Cascade Valley Hospital
- Island Hospital
- Peacehealth St Joseph Medical Center
- Providence Regional Medical Center Everett
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20230809002774 | WA | Practitioner - Internal Medicine | 3678935509 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current |
Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current |
Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
1801 E Division St
Mount Vernon, WA 98274
Phone (360) 424-4410
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
Interoperability endpoints
- dabraham60785@skagit.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OP61416743 | WA | Yes |
Addresses
Primary practice location
1801 E Division St
Mount Vernon, WA 98274-4632
Mailing address
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dabraham60785@skagit.direct-ci.com | Direct |
Other providers in Mount Vernon, WA
- 1918 Winter Street Operating Co LLC
- Richard J Abbott
- Ahmed Abou-Zeid
- Sandarah Abrahamson-Amun
- Allison Lea Abresch-Meyer
- Daniela Abreu
- Basil Abuid
- Teresa M Ackerlund
All providers in Mount Vernon, WA · Internal Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 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.