Philip Abraham, M.D.
Individual provider Active NPI Internal Medicine Physician · Kittery, ME
NPI 1497750764 · NPPES record last updated Nov 3, 2023
Key facts
- NPI
- 1497750764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MD16477 (ME)
- Practice address
- 42 State Rd Unit 103
Kittery, ME 03904-1810 - Phone
- (207) 651-7432
- Fax
- (888) 519-0831
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Hospital & facility affiliations 40
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
42 State Rd
Unit 103
Kittery, ME 03904-1810
Phone (207) 324-5968
Hospital & facility affiliations
- York Hospital
- Mainehealth Maine Medical Center
- Wentworth-Douglass Hospital
- Portsmouth Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040312000784 | ME | Practitioner - Internal Medicine | 1355234006 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016477 | ME | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Single Specialty | Current | Accepting new patients |
| Webber Hospital Association | Single Specialty | Current |
Accepting new patients |
| Philip Abraham MD LLC | Single Specialty | Current |
Accepting new patients |
| Mainehealth | Current |
Accepting new patients | |
| Bene Esse, Inc. | Internal Medicine | Past | Accepting new patients |
Locations
1 Medical Dr
Biddeford, ME 04005
Phone (207) 283-7000
3 Shape Dr
Kennebunk, ME 04043
Phone (207) 467-8930
42 State Rd
Unit 103
Kittery, ME 03904
Phone (207) 324-5968
25 June St
Sanford, ME 04073
Phone (207) 324-4310
25A June St
Ste 3
Sanford, ME 04073
Phone (207) 324-5968
25A June St
Ste 111
Sanford, ME 04073
Phone (207) 324-5968
Interoperability endpoints
- pabraham159851@direct.mmc.mainehealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 016477 | ME | |
| Internal Medicine Physician |
207R00000X | MD16477 | ME | Yes |
Addresses
Primary practice location
42 State Rd Unit 103
Kittery, ME 03904-1810
Mailing address
42 State Rd Unit 103
Kittery, ME 03904-1810
Phone (207) 651-7432
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 223240000 | Medicaid | ME |
Other providers in Kittery, ME
- Kelly Abernethy
- Renee Marie Al-Darraji
- Isabel Alonso Zieja
- Erik Alex Anderson
- Philip R. Anderson
- Appledore Medical Group, Inc.
All providers in Kittery, ME · Internal Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.