Active NPI
Abraham Infectious Disease Associates 2 LLC
- Infectious Disease Physician
- Tallahassee, FL
National Provider Identifier
1376094615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- ME99953
- Legal business name
- ABRAHAM INFECTIOUS DISEASE ASSOCIATES 2 LLC
- Practice address
- 2709 Killarney Way Ste 2
Tallahassee, FL 32309-6201 - Phone
- (850) 329-2872
- Fax
- (850) 329-2882
- NPI assigned
- Oct 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gizatchew Ketsela, MD
- Title
- Owner
- Phone
- 8509182405850
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | ME99953 | FL | Primary |
Addresses
Primary practice location
2709 Killarney Way Ste 2
Tallahassee, FL 32309-6201
Mailing address
2910 Kerry Forest Pkwy # D4-369
Tallahassee, FL 32309-6892
Phone (850) 329-2872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2910 Kerry Forest Pkwy
#D4369
Tallahassee, FL 32309
2709 Killarney Way
Ste 2
Tallahassee, FL 32309
Phone (850) 329-2872
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Tallahassee, FL
- NPI 1023166832
-
- Family Nurse Practitioner
- Tallahassee, FL
- NPI 1811456189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783641600000",
"number": "1376094615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 KERRY FOREST PKWY # D4-369",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323096892",
"telephone_number": "850-329-2872",
"fax_number": "850-329-2882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 KILLARNEY WAY STE 2",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323096201",
"telephone_number": "850-329-2872",
"fax_number": "850-329-2882"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABRAHAM INFECTIOUS DISEASE ASSOCIATES 2 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-21",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A",
"authorized_official_last_name": "KETSELA",
"authorized_official_first_name": "GIZATCHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "8509182405850",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": "FL",
"license": "ME99953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.