Individual provider Active NPI

Daniel J Abraham, D.O.

  • Dermatology Physician
  • Jacksonville, NC
National Provider Identifier
1497709778
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Practice address
215B Station St
Jacksonville, NC 28546-6304
Phone
(910) 577-2334
NPI assigned
May 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 5101013247 MI
Dermatology Physician 207N00000X NC Primary

Addresses

Primary practice location

215B Station St
Jacksonville, NC 28546-6304

Mailing address

241 New River Dr
Jacksonville, NC 28540-5928
Phone (910) 577-2605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20071211000060 NC Practitioner - Dermatology 8123117330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Michigan State University College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onslow Ambulatory Services Inc 18 clinicians

Practice addresses (Care Compare)

215 B Station St
Jacksonville, NC 28546-6304
Phone (910) 577-2334

Hospital & facility affiliations

  • Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as group
Quality
90.05
Promoting interoperability
100
Improvement activities
40
Cost
75.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1588
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy70

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101013247MIMDDermatology Physician
2007-01406NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Onslow Ambulatory Services, Inc. CurrentSince Oct 1, 2007 Accepting new patients
Onslow Ambulatory Services, Inc. Dermatology CurrentSince Oct 1, 2007 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

241 New River Dr
Jacksonville, NC 28540
Phone (910) 430-4152

200 Memorial Dr
Jacksonville, NC 28546
Phone (910) 577-2900

215B Station St
Jacksonville, NC 28546
Phone (910) 455-8669

215 Station St
#B
Jacksonville, NC 28546

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1497709778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 NEW RIVER DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285405928",
            "telephone_number": "910-577-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215B STATION ST",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466304",
            "telephone_number": "910-577-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101013247",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.