Arun V Abraham, MD
Individual provider Active NPI Family Medicine Physician · Springfield, IL
NPI 1508020546 · NPPES record last updated May 19, 2020
Key facts
- NPI
- 1508020546
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036126807 (IL)
- Practice address
- 1025 S 6TH St
Springfield, IL 62703-2403 - Phone
- (217) 528-7541
- Fax
- (217) 757-7002
- NPI assigned
- Jul 17, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 1
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Springfield Clinic, LLP
Practice addresses (Care Compare)
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
Hospital & facility affiliations
- Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 75.65
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Springfield Clinic Lincoln Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2018 |
| Springfield Clinic Nokomis Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2018 |
| Springfield Clinic Raymond Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2018 |
| Springfield Clinic Neoga Rural Health |
Rural health clinic | Limited Partnership Interest | Jan 1, 2018 |
| Springfield Clinic, LLP |
Rural health clinic | Limited Partnership Interest | Jan 1, 2018 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110301000980 | IL | Practitioner - Family Practice | 5698956209 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036126807 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Square 1 Healthcare Company | Current | Accepting new patients | |
| Springfield Clinic, LLP | Current |
Accepting new patients | |
| Midwest Emergency Department Specialists LTD | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1000 W Morton Ave
Jacksonville, IL 62650
Phone (217) 243-6520
400 Saint Johns Dr
Sherman, IL 62684
Phone (217) 525-4150
775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
2200 Wabash Ave
Springfield, IL 62704
4525 Wabash Ave
Springfield, IL 62711
1025 S 6th St
Springfield, IL 62703
4525 Wabash Ave
Ste D
Springfield, IL 62711
800 N 1st St
Springfield, IL 62702
Interoperability endpoints
- arun.abraham.1@28977.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036126807 | IL | Yes |
Addresses
Primary practice location
1025 S 6TH St
Springfield, IL 62703-2403
Mailing address
1025 S 6TH St
Springfield, IL 62703-2403
Phone (217) 528-7541
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | arunabraham@sfc.allscriptsdirect.net |
Other providers in Springfield, IL
- Muhammad Anas Abdulrazzak
- Matthew Scott Abell
- Kate A Abitogun
- Patrick Abler
- Kinan J Abou-Kassem
- Ashley Abraham
- Christopher Douglas Abraham
- Emil Abraham
- Philip James Abraham
- Joel H. Abramowitz
All providers in Springfield, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2020. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- 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.