Active NPI
Jaber Abawi, MD
- Internal Medicine Physician
- Payson, AZ
National Provider Identifier
1629038542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 32175
- Practice address
- 1106 N Beeline Hwy
Payson, AZ 85541-3714 - Phone
- (928) 474-5286
- Fax
- (928) 474-0008
- NPI assigned
- Mar 24, 2006
- Last updated
- Apr 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 32175 | AZ | Primary |
Addresses
Primary practice location
1106 N Beeline Hwy
Payson, AZ 85541-3714
Mailing address
PO Box 2159
Payson, AZ 85547-2159
Phone (928) 474-5286
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 976194 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1106 N Beeline Hwy
Payson, AZ 85541-5363
Phone (928) 474-5286
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 18.85 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 62.83
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32175 | AZ | MD | Internal Medicine Physician |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Payson, AZ
- NPI 1396846457
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sunrise Health Services
- Home Health Agency
- Gilbert, AZ
- NPI 1760449409
-
dba Rim Country Health & Retirement Community
- Skilled Nursing Facility
- Payson, AZ
- NPI 1578568267
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1629038542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2159",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855472159",
"telephone_number": "928-474-5286",
"fax_number": "928-474-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 N BEELINE HWY",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855413714",
"telephone_number": "928-474-5286",
"fax_number": "928-474-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABAWI",
"first_name": "JABER",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "32175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "976194",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.