Active NPI
Victor Abiragi, MD
- Cardiovascular Disease Physician
- Saint Clair Shores, MI
National Provider Identifier
1447254248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 4301037600
- Practice address
- 25631 Little Mack
Ste 201
St. Clair Shores, MI 48081-2108 - Phone
- (586) 443-2930
- Fax
- (586) 443-2958
- NPI assigned
- Jun 9, 2005
- Last updated
- Oct 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 4301037600 | MI | Primary |
Addresses
Primary practice location
25631 Little Mack
Ste 201
St. Clair Shores, MI 48081-2108
Mailing address
25631 Little Mack
Ste 201
St. Clair Shores, MI 48081-2108
Phone (586) 443-2930
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4018153 | Other | MI | AETNA |
| 4901239 | Medicaid | MI | |
| 0E01050 | Other | MI | BCBS GROUP |
| 0509054 | Other | MI | BCBS INDIVIDUAL PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Associates of Michigan, P.C. | Cardiovascular Disease | Past | Accepting new patients |
| Preventive Cardiovascular Institute PLLC | Cardiovascular Disease | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Saint Clair Shores, MI
- NPI 1699795435
-
- Cardiovascular Disease Physician
- Shelby Township, MI
- NPI 1114942000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286496000000",
"number": "1447254248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25631 LITTLE MACK",
"address_2": "STE 201",
"city": "ST. CLAIR SHORES",
"state": "MI",
"postal_code": "480812108",
"telephone_number": "586-443-2930",
"fax_number": "586-443-2958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25631 LITTLE MACK",
"address_2": "STE 201",
"city": "ST. CLAIR SHORES",
"state": "MI",
"postal_code": "480812108",
"telephone_number": "586-443-2930",
"fax_number": "586-443-2958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABIRAGI",
"first_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2010-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301037600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4018153",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4901239",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "0E01050",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL PIN",
"identifier": "0509054",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.