Individual provider Active NPI

Andres Ramon Hernandez Abreu, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1518929009
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
174938 Issued in NY
Practice address
563 Grand St
Brooklyn, NY 11211-3502
Phone
(718) 302-1170
Fax
(718) 302-1109
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 174938 NY Primary

Addresses

Primary practice location

563 Grand St
Brooklyn, NY 11211-3502

Mailing address

563 Grand St
Brooklyn, NY 11211-3502
Phone (718) 302-1170

Other identifiers 1

IdentifierTypeStateIssuer
01082911MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060112000855 NY Practitioner - Internal Medicine 5496778797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
America Medical Group PCGroup PAC ID 3476568197, 2 clinicians

Practice addresses (Care Compare)

441 Lorimer St
Brooklyn, NY 11206-1100
Phone (718) 302-1170

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bimc Faculty Practice PastSince Nov 7, 2005 Accepting new patients

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEFFAA/Endpoint/BEFFAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1518929009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113502",
            "telephone_number": "718-302-1170",
            "fax_number": "718-302-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113502",
            "telephone_number": "718-302-1170",
            "fax_number": "718-302-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ ABREU",
        "first_name": "ANDRES",
        "middle_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "174938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01082911",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.