Madison Abrams

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

8154 Issued in AZ

Practice address

12665 W. Smokey Drive
Surprise, AZ 85378

Phone

(623) 219-4040

Fax

(623) 219-4050

NPI assigned

Apr 10, 2020

Last updated

Feb 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arizona Pain Care Center PLLCGroup PAC ID 5496018921, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12816/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/EJAJBA
• Direct secure messaging: madison.abrams.p32@direct.aara1.nextgenshare.com

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.

• Arizona Pain Care Center, PLLC

  • Pain Medicine Physician
  • Oro Valley, AZ
  • NPI 1396246013
  Medicare reassignment Care Compare group
• Phoenix Family Medical Care PLLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1952540593
  Medicare reassignment
• Arizona Pain Care Associates LLC

  • Interventional Pain Medicine Physician
  • Oro Valley, AZ
  • NPI 1417253972
  NPD (past)
• Arthritis Consultants PC

  • Rheumatology Physician
  • Surprise, AZ
  • NPI 1780047985
  NPD (past)

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1609495571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 W SMOKEY DR STE 140",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853783732",
            "telephone_number": "623-219-4040",
            "fax_number": "623-219-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 W. SMOKEY DRIVE",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85378",
            "telephone_number": "623-219-4040",
            "fax_number": "623-219-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "MADISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "8154",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Abina, OTR/L
• About Seniors Assisted Living Home, LLC
• About Seniors Assisted Living II,LLC
• Rebecca Puthusseril Abraham, M.D.
• Ricki Abrams-Stern
• Bridget Abramson, IBCLC
• Jawad Abukhalaf, MD
• Abundant Human Services
• Acacia S Healthcare PLLC
• Ace Surgical Assist, PLC

• Physician Assistant in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.