Individual provider Active NPI

Nicole Claudine Namour-Abraham, MD

  • Pediatrics Physician
  • Baltimore, MD
National Provider Identifier
1437291812
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D67141 Issued in MD
Practice address
4940 Eastern Ave
Children's Medical Practice
Baltimore, MD 21224-2735
Phone
(410) 550-0967
NPI assigned
Feb 13, 2007
Last updated
Mar 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P20205 MD
Pediatrics Physician 208000000X D67141 MD Primary

Addresses

Primary practice location

4940 Eastern Ave
Children's Medical Practice
Baltimore, MD 21224-2735

Mailing address

103 Hawthorne Rd
Baltimore, MD 21210-2501
Phone (410) 982-6206

Other identifiers 1

IdentifierTypeStateIssuer
017696600MedicaidMD

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
I20080610000593 MD Practitioner - Pediatric Medicine 0648340117 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D67141MDMDPediatrics Physician
P20205MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Emergency Medicine Physicians, LLC CurrentSince Dec 1, 2009 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2008 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2008 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500

4940 Eastern Ave
Baltimore, MD 21224

601 N Caroline St
Baltimore, MD 21287
Phone (410) 955-5080

520 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (410) 836-0128

Interoperability endpoints

  • Direct secure messaging: nicole.namourabraham.p1@direct.bmsi.nextgenshare.com
  • Direct secure messaging: nnamourabraham7205@direct.hopkinsmedicine.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1437291812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HAWTHORNE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212102501",
            "telephone_number": "410-982-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EASTERN AVE",
            "address_2": "CHILDREN'S MEDICAL PRACTICE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242735",
            "telephone_number": "410-550-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMOUR-ABRAHAM",
        "first_name": "NICOLE",
        "middle_name": "CLAUDINE",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "P20205",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D67141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017696600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.