Individual provider Active NPI

Alan P Abrams, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Cambridge, MA
National Provider Identifier
1619082674
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
49657 Issued in MA
Practice address
65 Museum St
#2
Cambridge, MA 02138-1921
Phone
(617) 499-8358
NPI assigned
Aug 20, 2006
Last updated
Apr 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 49657 MA Primary

Addresses

Primary practice location

65 Museum St
#2
Cambridge, MA 02138-1921

Mailing address

5 Forest St
Lexington, MA 02421-4910
Phone (617) 632-8696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 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
I20050720000786 MA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9133156243 Reassigns benefits to 2 organizations
I20210412002394 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 9133156243 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Oct 19, 2010 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Oct 19, 2010 Accepting new patients
Five Star Medical Office PC CurrentSince Mar 5, 2021 Accepting new patients
Perfect Health PC CurrentSince Jun 1, 2018 Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

7224 Kissena Blvd
Ste 1H
Flushing, NY 11367
Phone (718) 544-7133

10407 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 576-4652

169 Madison Ave
Ste 2817
New York, NY 10016
Phone (917) 410-7931

169 Madison Ave
Ste 2829
New York, NY 10016

Organizations & group practices 5

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1619082674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FOREST ST",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024214910",
            "telephone_number": "617-632-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MUSEUM ST",
            "address_2": "#2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381921",
            "telephone_number": "617-499-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "ALAN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "49657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.