NPIMap

Individual provider Active NPI

Philip Abraham, M.D.

  • Internal Medicine Physician
  • Kittery, ME
National Provider Identifier
1497750764
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD16477 Issued in 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
Last updated
Nov 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 016477 ME
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD16477 ME Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040312000784 ME Practitioner - Internal Medicine 1355234006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016477MEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Jan 1, 2014 Accepting new patients
Mainehealth Single Specialty Current Accepting new patients
Philip Abraham MD LLC Single Specialty CurrentSince Oct 10, 2010 Accepting new patients
Webber Hospital Association Single Specialty CurrentSince Jan 1, 2014 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 111
Sanford, ME 04073
Phone (207) 324-5968

25A June St
Ste 3
Sanford, ME 04073
Phone (207) 324-5968

Interoperability endpoints

  • Direct secure messaging: pabraham159851@direct.mmc.mainehealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1497750764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 STATE RD UNIT 103",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041810",
            "telephone_number": "207-651-7432",
            "fax_number": "888-519-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 STATE RD UNIT 103",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041810",
            "telephone_number": "207-651-7432",
            "fax_number": "888-519-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "016477",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD16477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittery, ME

Sources for this page

Verify at the official NPI Registry.