Individual provider Active NPI

Abraham K Poulose, MD

  • Retina Specialist (Ophthalmology) Physician
  • Leawood, KS
National Provider Identifier
1497753560
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
100803 Issued in MO
Practice address
11261 Nall Ave
Leawood, KS 66211-1675
Phone
(913) 261-2020
Fax
(913) 261-2090
NPI assigned
Jul 12, 2005
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 100803 MO Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 04-25731 KS

Addresses

Primary practice location

11261 Nall Ave
Leawood, KS 66211-1675

Mailing address

11261 Nall Ave
Leawood, KS 66211-1675
Phone (913) 261-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040830000095 KS Practitioner - Ophthalmology 8729053251 Reassigns benefits to 1 organization
I20051206000785 MO Practitioner - Ophthalmology 8729053251 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sabates Eye Centers LLCGroup PAC ID 3971491093, 19 clinicians
University Health PhysiciansGroup PAC ID 1153235825, 344 clinicians

Practice addresses (Care Compare)

11261 Nall Ave
Leawood, KS 66211-1669
Phone (913) 261-2020

1329 Village Dr
Saint Joseph, MO 64506-2457
Phone (913) 261-2020

2101 Charlotte St
Suite 450
Kansas City, MO 64108-2727
Phone (816) 404-1750

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone (816) 932-2000

4741 S Arrowhead Dr
Independence, MO 64055-6957
Phone (913) 261-2020

5811 NW Barry Rd
Kansas City, MO 64154-1494
Phone (913) 261-2020

7900 Lees Summit Rd
Kansas City, MO 64139-1236
Phone (816) 404-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.53 of 100Reported as group
Quality
59.66
Promoting interoperability
100
Improvement activities
40
Cost
74.66

Merit-based Incentive Payment System (MIPS)

Final score
89.71 of 100Reported as group
Quality
89.16
Promoting interoperability
100
Improvement activities
40
Cost
76.54

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-25731KSMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Health Physicians CurrentSince Jan 1, 2019 Accepting new patients
Sabates Eye Centers LLC Ophthalmology CurrentSince Jul 1, 1996 Accepting new patients
Sabates Eye Centers, PA Ophthalmology CurrentSince Jul 1, 1996 Accepting new patients
Sabates Eye Centers PA Past Accepting new patients

Locations

1001 6th Ave
Ste 100
Leavenworth, KS 66048
Phone (913) 297-9213

5808 W 110th St
Overland Park, KS 66211
Phone (913) 696-8000

11261 Nall Ave
Shawnee Mission, KS 66211
Phone (913) 671-3220

4741 S Arrowhead Dr
Independence, MO 64055
Phone (816) 795-6000

1000 E 24th St
Ofc 53
Kansas City, MO 64108
Phone (816) 404-3710

2101 Charlotte St
Kansas City, MO 64108
Phone (816) 404-0072

2101 Charlotte St
Ste 250
Kansas City, MO 64108
Phone (816) 404-2222

2301 Holmes St
Kansas City, MO 64108
Phone (816) 404-4175

2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380

4320 Wornall Rd
Ste 220
Kansas City, MO 64111

4320 Wornall Rd
Ste 65
Kansas City, MO 64111
Phone (816) 932-6100

4401 Wornall Rd
Kansas City, MO 64111
Phone (816) 932-2107

4407 E 50th Ter
Kansas City, MO 64130
Phone (816) 924-1201

5811 NW Barry Rd
Kansas City, MO 64154

7900 Lees Summit Rd
Kansas City, MO 64139
Phone (816) 373-4485

1329 Village Dr
Saint Joseph, MO 64506
Phone (816) 279-8600

Interoperability endpoints

  • Direct secure messaging: abraham.poulose.p1@direct.sabateseye.nextgenshare.com

Organizations & group practices 4

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 4

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1497753560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11261 NALL AVE",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111675",
            "telephone_number": "913-261-2020",
            "fax_number": "913-261-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11261 NALL AVE",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111675",
            "telephone_number": "913-261-2020",
            "fax_number": "913-261-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULOSE",
        "first_name": "ABRAHAM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MO",
            "license": "100803",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KS",
            "license": "04-25731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.