NPIMap

Individual provider Active NPI

Bibin Abraham, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Mansfield, TX
National Provider Identifier
1275074403
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP134418 Issued in TX
Practice address
101 Silverwood Dr
Mansfield, TX 76063-6784
Phone
(817) 703-4373
NPI assigned
Mar 20, 2017
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP134418 TX Primary
Registered Nurse 163W00000X RN143859 LA
Registered Nurse 163W00000X 786780 TX

Addresses

Primary practice location

101 Silverwood Dr
Mansfield, TX 76063-6784

Mailing address

101 Silverwood Dr
Mansfield, TX 76063-6784
Phone (817) 703-4373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171018002162 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 8123394103 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

5200 Harry Hines Blvd
Dallas, TX 75235-7709
Phone (214) 590-8006

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.1 of 100Reported as group
Quality
88.97
Promoting interoperability
79
Improvement activities
40
Cost
83.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN143859LAMDRegistered Nurse
786780TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Interventional Pain Management, P.L.L.C CurrentSince Oct 24, 2017 Accepting new patients
Orthomed Staffing LLC CurrentSince May 27, 2023 Accepting new patients
Dallas County Hospital District CurrentSince Sep 30, 2017 Accepting new patients
Valiant Anesthesia Associates, PLLC CurrentSince Nov 1, 2018 Accepting new patients
Champion Anesthesia Consultants, PLLC CurrentSince Oct 12, 2018 Accepting new patients
SP Pain Partners, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2018 Accepting new patients
Dallas County Hospital District CurrentSince Sep 30, 2017 Accepting new patients
Eagle Anesthesia PLLC CurrentSince Sep 8, 2017 Accepting new patients
Premier Interventional Pain Management, P.L.L.C CurrentSince Oct 24, 2017 Accepting new patients

Locations

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

11990 N Central Expy
Dallas, TX 75243
Phone (469) 624-5752

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

2321 Olympia Dr
Ste 100A
Flower Mound, TX 75028
Phone (972) 350-0225

11500 State Highway 121
Ste 420
Frisco, TX 75035
Phone (469) 252-4777

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

2001 Hermann Dr
Houston, TX 77004
Phone (713) 285-5500

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4005 W 15th St
Plano, TX 75093
Phone (214) 250-3531

4700 Alliance Blvd
Plano, TX 75093
Phone (469) 814-2000

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

811 S Central Expy
Ste 103
Richardson, TX 75080
Phone (972) 310-7121

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

Organizations & group practices 10

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 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1275074403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SILVERWOOD DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636784",
            "telephone_number": "817-703-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SILVERWOOD DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636784",
            "telephone_number": "817-703-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "BIBIN",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-20",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP134418",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN143859",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "786780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.