NPIMap

Individual provider Active NPI

Shameer B Abrahim, MD

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1255525945
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28250 Issued in AL
Practice address
610 Providence Park Dr E Ste 101
Mobile, AL 36695-4618
Phone
(251) 378-3900
Fax
(251) 378-3902
NPI assigned
Sep 5, 2007
Last updated
Apr 4, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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 28250 AL Primary

Addresses

Primary practice location

610 Providence Park Dr E Ste 101
Mobile, AL 36695-4618

Mailing address

PO Box 850489
Mobile, AL 36685-0489
Phone (251) 342-3949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080403000347 AL Practitioner - Internal Medicine 1850478678 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
USA Health Community Providers LLCGroup PAC ID 2062875479, 97 clinicians

Practice addresses (Care Compare)

6801 Airport Blvd
Mobile, AL 36608-3709
Phone (251) 266-3580

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28250ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Providence Healthcare Services Internal Medicine Current Accepting new patients
USA Health Community Providers LLC Internal Medicine CurrentSince Sep 1, 2023 Accepting new patients
Providence Hospital CurrentSince Aug 23, 2021 Accepting new patients
Providence Hospital Current Accepting new patients
Providence Hospital CurrentSince Aug 23, 2021 Accepting new patients
University of South Alabama Mitchell Cancer Institute Past Accepting new patients

Locations

610 Providence Park Dr E
Ste 101
Mobile, AL 36695
Phone (251) 378-3900

610 Providence Park Dr E
Ste 102
Mobile, AL 36695
Phone (251) 378-3900

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

Interoperability endpoints

  • Direct secure messaging: shameer.abrahim.1@16253.direct.athenahealth.com

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.

Hospital & facility affiliations 7

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": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1255525945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850489",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366850489",
            "telephone_number": "251-342-3949",
            "fax_number": "251-631-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROVIDENCE PARK DR E STE 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954618",
            "telephone_number": "251-378-3900",
            "fax_number": "251-378-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHIM",
        "first_name": "SHAMEER",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "28250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.