Dara Beth Abraham, D.O

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OS015113 Issued in PA

Practice address

1601 Walnut St Ste 1128
Philadelphia, PA 19102-2913

Phone

(610) 686-9161

Fax

(610) 273-5562

NPI assigned

Jun 29, 2008

Last updated

Jul 5, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 19, 2020 through Apr 19, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1316109549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SYLVAN LN",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351221",
            "telephone_number": "610-686-9161",
            "fax_number": "610-273-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST STE 1128",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022913",
            "telephone_number": "610-686-9161",
            "fax_number": "610-273-5562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Presidential Blvd Ste W10",
            "address_purpose": "LOCATION",
            "city": "Bala Cynwyd",
            "state": "PA",
            "postal_code": "190041205",
            "country_code": "US",
            "telephone_number": "610-686-9161",
            "fax_number": "610-273-5562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "DARA",
        "middle_name": "BETH",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-29",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OS015113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Abraham
• Ayana Sara Abraham, PA-C
• Bineetha Juby Abraham, CRNP
• Boban Abraham, MD
• Christtina Abraham, PSY.D.
• Hadessa Abraham
• Jesty R Abraham, DO
• Kurian Abraham, D.D.S.
• Lija Abraham, CRNP
• Sheeja K. Abraham, MD

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.