NPIMap

Individual provider Active NPI

Reuben E Abraham, M.D.

  • Internal Medicine Physician
  • Abingdon, MD
National Provider Identifier
1245522143
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0077902 Issued in MD
Practice address
3401 Box Hill Corporate Center Dr Ste 100
Abingdon, MD 21009-1200
Phone
(410) 671-0017
NPI assigned
May 10, 2011
Last updated
Sep 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0077902 MD Primary

Addresses

Primary practice location

3401 Box Hill Corporate Center Dr Ste 100
Abingdon, MD 21009-1200

Mailing address

3401 Box Hill Corporate Center Dr Ste 100
Abingdon, MD 21009-1200
Phone (410) 671-0017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20140912000879 MD Practitioner - Internal Medicine 2365661931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Harford Primary Care LLCGroup PAC ID 3971499971, 27 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

2 N Ave
Suite 101
Bel Air, MD 21014-2303
Phone (410) 838-6434

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0077902MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harford Primary Care LLC CurrentSince Sep 1, 2014 Accepting new patients

Locations

3401 Box Hill Corporate Center Dr
Ste 100
Abingdon, MD 21009
Phone (410) 671-0017

2 North Ave
Ste 101
Bel Air, MD 21014
Phone (410) 296-1661

615 W Macphail Rd
Ste 106
Bel Air, MD 21014
Phone (410) 638-8900

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1245522143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 BOX HILL CORPORATE CENTER DR STE 100",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091200",
            "telephone_number": "410-671-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BOX HILL CORPORATE CENTER DR STE 100",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "210091200",
            "telephone_number": "410-671-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "REUBEN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-10",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0077902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, MD

Sources for this page

Verify at the official NPI Registry.