Individual provider Active NPI

Raja Sohail Abbas, M.D.

  • Psychiatry Physician
  • Lehighton, PA
National Provider Identifier
1306057294
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD433975 Issued in PA
Practice address
211 N 12TH St
Lehighton, PA 18235-1138
Phone
(610) 377-1300
NPI assigned
May 24, 2007
Last updated
Feb 28, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD433975 PA Primary

Addresses

Primary practice location

211 N 12TH St
Lehighton, PA 18235-1138

Mailing address

428 S 7TH St
Lehighton, PA 18235-1824
Phone (106) 900-4234

Other identifiers 2

IdentifierTypeStateIssuer
1023379110001MedicaidPA
160965HSUOtherPAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090817000236 PA Practitioner - Geriatric PsychiatryPractitioner - PsychiatryPractitioner - Neuropsychiatry 3476607045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric PsychiatryAlso: Neuropsychiatry, Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Geropsych, LLCGroup PAC ID 2062659584, 17 clinicians

Practice addresses (Care Compare)

428 S 7TH St
Lehighton, PA 18235-1824
Phone (610) 900-4234

4379 Easton Ave
101 Valley Geropsych
Bethlehem, PA 18020-1483
Phone (610) 625-1486

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.71 of 100Reported as group
Quality
79.08
Improvement activities
40
Cost
80.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD433975PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Geropsych, LLC CurrentSince Feb 11, 2013 Accepting new patients
CMS Medical Care Corporation Psychiatry Past Accepting new patients
Lancaster Hma Physician Management, LLC Psychiatry Past Accepting new patients

Locations

4379 Easton Ave
#101
Bethlehem, PA 18020
Phone (610) 625-1486

3835 Chestnut St
Emmaus, PA 18049
Phone (484) 232-5288

428 S 7th St
Lehighton, PA 18235
Phone (610) 401-3559

428 S 7th St
Ste 1
Lehighton, PA 18235

135 Lafayette Ave
Ste 263
Palmerton, PA 18071
Phone (610) 900-4234

Organizations & group practices 3

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 6

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": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1306057294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S 7TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351824",
            "telephone_number": "106-900-4234",
            "fax_number": "570-392-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N 12TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351138",
            "telephone_number": "610-377-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBAS",
        "first_name": "RAJA",
        "middle_name": "SOHAIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD433975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023379110001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "160965HSU",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.