Active NPI
Elizabeth Chathaparampil Abraham, M.D.
- Pediatrics Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2010013751
- Practice address
- 7387 Watson Rd Ste 310
Saint Louis, MO 63119-4405 - Phone
- (314) 500-5437
- NPI assigned
- Jun 4, 2007
- Last updated
- Mar 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | 57008703 | OH | |
| Pediatrics Physician | 208000000X | 2010013751 | MO | Primary |
| Pediatric Nephrology Physician | 2080P0210X | 57.008703 | OH |
Addresses
Primary practice location
7387 Watson Rd Ste 310
Saint Louis, MO 63119-4405
Mailing address
7387 Watson Rd Ste 310
Saint Louis, MO 63119-4405
Phone (314) 500-5437
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | StTeresaPediatrics.ElizabethAbraham@140045.advancedmd-direct.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Jefferson Medical College of Thomas Jefferson University, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7387 Watson Rd
Saint Louis, MO 63119-4405
Phone (314) 500-5437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57008703 | OH | MD | Personal Emergency Response Attendant |
| 2010013751 | MO | MD | Pediatrics Physician |
| 57.008703 | OH | MD | Pediatric Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Gianna Pediatrics, LLC | Pediatrics | Current | Accepting new patients |
| Great Mines Health Center | Current | Accepting new patients | |
| Great Mines Health Center | Current | Accepting new patients |
Locations
1 Southtowne Dr
Potosi, MO 63664
Phone (573) 438-8401
7387 Watson Rd
Saint Louis, MO 63119
Phone (314) 500-5437
7387 Watson Rd
Ste 310
Saint Louis, MO 63119
Phone (314) 500-5437
Interoperability endpoints
- stteresapediatrics.elizabethabraham@140045.advancedmd-direct.com
Organizations & group practices 3
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.
-
dba St. Teresa Pediatrics
- Pediatrics Physician
- Shrewsbury, MO
- NPI 1053887612
-
- Federally Qualified Health Center (FQHC)
- Potosi, MO
- NPI 1376536953
-
dba Farmington R-VII - Dayse Baker Learning Center
- Federally Qualified Health Center (FQHC)
- Farmington, MO
- NPI 1073188462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616371200000",
"number": "1467654293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7387 WATSON RD STE 310",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631194405",
"telephone_number": "314-500-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7387 WATSON RD STE 310",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631194405",
"telephone_number": "314-500-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "ELIZABETH",
"middle_name": "CHATHAPARAMPIL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2021-03-22",
"certification_date": "2021-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "OH",
"license": "57008703",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2010013751",
"primary": true
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "OH",
"license": "57.008703",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "StTeresaPediatrics.ElizabethAbraham@140045.advancedmd-direct.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7387 Watson Rd Ste 310",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631194405",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
- Above and Beyond Home Health Cares Corporation
- Above and Beyond Home Health Cares Corporation
- Above and Beyond Home Health Cares Corporaton
- Above the Clouds Health Caare,LLC
- Above the Clouds Home Health Care
- Leni Abraham, MD
- Manjusha Abraham, MD
- Philip Mulayara Abraham, MD
- Samuel Joseph Abraham, DPT
- Vihas Abraham
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.