Active NPI
Richard P Abramson, MD
- Pediatric Urology Physician
- Orlando, FL
National Provider Identifier
1225007875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- ME115598
- Practice address
- 1717 S Orange Ave
Suite 100
Orlando, FL 32806-2944 - Phone
- (407) 650-7715
- Fax
- (407) 567-5924
- NPI assigned
- Mar 16, 2006
- Last updated
- Apr 3, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | 4301077491 | MI | |
| Pediatric Urology Physician | 2088P0231X | ME115598 | FL | Primary |
Addresses
Primary practice location
1717 S Orange Ave
Suite 100
Orlando, FL 32806-2944
Mailing address
PO Box 191
Rockland, DE 19732-0191
Phone (302) 651-6212
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G16439 | Other | MI | HAP |
| 9952477008 | Other | MI | CIGNA |
| 132123 | Other | MI | PRIORITY HEALTH |
| 01000142 | Other | MI | HEALTH PLUS |
| 5325092 | Other | MI | AETNA |
| PENDING | Medicaid | FL | |
| 340019114 | Other | MI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75819 | CA | MD | Dental Assistant |
| 4301077491 | MI | MD | Pediatric Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Physician Services of Michigan, P.C. | Pediatric Urology | Current | Accepting new patients |
| The Nemours Foundation | Past | Accepting new patients |
Locations
20952 E 12 Mile Rd
Ste 200
St Clr Shores, MI 48081
Phone (586) 771-4820
Interoperability endpoints
- richard.abramson.p1@direct.altura.nextgenshare.com
Organizations & group practices 2
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.
-
dba Michigan Institute of Urology
- Urology Physician
- Saint Clair Shores, MI
- NPI 1427027416
Pediatric Urology
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1225007875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 191",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197320191",
"telephone_number": "302-651-6212",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S ORANGE AVE",
"address_2": "SUITE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062944",
"telephone_number": "407-650-7715",
"fax_number": "407-567-5924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMSON",
"first_name": "RICHARD",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "MI",
"license": "4301077491",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "FL",
"license": "ME115598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAP",
"identifier": "G16439",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9952477008",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH",
"identifier": "132123",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS",
"identifier": "01000142",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5325092",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "340019114",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.