Individual provider Active NPI

Abraham Mathew, MD

  • Family Medicine Physician
  • Finksburg, MD
National Provider Identifier
1396753448
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D53705 Issued in MD
Practice address
3125 Baltimore Blvd
Finksburg, MD 21048-2307
Phone
(410) 861-8151
Fax
(410) 833-9045
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3125 Baltimore Blvd
Finksburg, MD 21048-2307
Phone (410) 861-8151

P O Box
Suite 367
Finksburg, MD 21048-2307

Hospital & facility affiliations

  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20090623000122 MD Practitioner - Family Practice 7810934163 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D53705MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abraham Mathew, M.D, PC Family Medicine CurrentSince Apr 1, 2002 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3125 Baltimore Blvd
Finksburg, MD 21048
Phone (410) 861-8151

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D53705 MD Primary

Addresses

NPPES NPI Registry

Primary practice location

3125 Baltimore Blvd
Finksburg, MD 21048-2307

Mailing address

3125 Baltimore Blvd
PO Box 436
Finksburg, MD 21048-2307
Phone (410) 861-8151

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396753448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 BALTIMORE BLVD",
            "address_2": "PO BOX 436",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210482307",
            "telephone_number": "410-861-8151",
            "fax_number": "410-833-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 BALTIMORE BLVD",
            "city": "FINKSBURG",
            "state": "MD",
            "postal_code": "210482307",
            "telephone_number": "410-861-8151",
            "fax_number": "410-833-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D53705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Finksburg, MD

Sources for this page

Verify at the official NPI Registry.