Individual provider Active NPI

Richard Ira Abrahamson, MD

  • Ophthalmology Physician
  • Newport, KY
National Provider Identifier
1598747792
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
30910 Issued in KY
Practice address
1400 Grand Ave
Newport, KY 41071-2570
Phone
(859) 781-3110
Fax
(859) 441-1418
NPI assigned
Nov 15, 2005
Last updated
Dec 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35 06 2541 A OH
Ophthalmology Physician 207W00000X 30910 KY Primary

Addresses

Primary practice location

1400 Grand Ave
Newport, KY 41071-2570

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283
Phone (513) 621-2445

Other identifiers 2

IdentifierTypeStateIssuer
0874924MedicaidOH
64939945OtherKYMEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20150930001839 KY Practitioner - Ophthalmology 1759434921 Reassigns benefits to 2 organizations
I20230224000746 IN Practitioner - Ophthalmology 1759434921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Cincinnati College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Eye Institute P CGroup PAC ID 1153303417, 6 clinicians

Practice addresses (Care Compare)

1001 Walnut St
Evansville, IN 47713-1963
Phone (812) 421-2020

1993 Barret CT
Henderson, KY 42420-2667
Phone (812) 421-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35 06 2541 AOHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Eye Institute P C Ophthalmology CurrentSince Jan 1, 2023 Accepting new patients
Eye Care Surgery Center of Evansville, LLC CurrentSince Feb 20, 2023 Accepting new patients
St Elizabeth Medical Center, Inc Past Accepting new patients
DRS Abrahamson Ophthalmology Past Accepting new patients
Ohio Valley Eye Institute Ophthalmology PastSince Jan 1, 2023 Accepting new patients

Locations

1001 Walnut St
Evansville, IN 47713
Phone (812) 421-2020

6540 Logan Dr
Ste 3
Evansville, IN 47715
Phone (812) 402-3937

1993 Barret Ct
Henderson, KY 42420
Phone (270) 831-2010

Interoperability endpoints

  • Direct secure messaging: rabrahamson183267@direct-prd.stelizabeth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1598747792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "513-621-2445",
            "fax_number": "513-621-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GRAND AVE",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410712570",
            "telephone_number": "859-781-3110",
            "fax_number": "859-441-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMSON",
        "first_name": "RICHARD",
        "middle_name": "IRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35 06 2541 A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "30910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0874924",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "64939945",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, KY

Sources for this page

Verify at the official NPI Registry.