Individual provider Active NPI

Ryan Abraham, CRNA

  • Certified Registered Nurse Anesthetist
  • Tucson, AZ
National Provider Identifier
1639794324
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
901636 Issued in MS
Practice address
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone
(520) 742-9000
NPI assigned
Jun 9, 2020
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 336781 AZ
Certified Registered Nurse Anesthetist 367500000X 901636 MS Primary
Critical Care Medicine Registered Nurse 163WC0200X RN9309082 FL

Addresses

Primary practice location

6200 N la Cholla Blvd
Tucson, AZ 85741-3529

Mailing address

17989 Restoration Cir
Gulfport, MS 39503-5237
Phone (321) 749-9317

Other practice location 1

415 S 28th Ave
Hattiesburg, MS 39401-7246
Phone (601) 261-3606

Other practice location 2

500 Fisher St
Biloxi, MS 39534-2502
Phone (321) 749-9317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, NM, TX, AZ5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20201028001175 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244640506 Reassigns benefits to 4 organizations
I20230414001527 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244640506 Reassigns benefits to 2 organizations
I20251114000047 NM Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244640506 Reassigns benefits to 2 organizations
I20260420003479 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244640506 Reassigns benefits to 1 organization
I20260427003656 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 0244640506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Anesthesia of New Mexico, LLCGroup PAC ID 3476807538, 228 clinicians
USA Health Anesthesia Billing Services LLCGroup PAC ID 1153659123, 160 clinicians
Hattiesburg Clinic PAGroup PAC ID 5193706794, 525 clinicians
Las Cruces HB Medical Services LLCGroup PAC ID 8123473600, 157 clinicians
Flowers HB Medical Services LLCGroup PAC ID 6305290990, 139 clinicians

Practice addresses (Care Compare)

117 E 19TH St
Lovelace Regional Hospital Roswell
Roswell, NM 88201-5151
Phone (575) 627-7000

2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (915) 478-0594

2451 Fillingim St
Mobile, AL 36617-2238
Phone (251) 471-7000

415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000

4311 E Lohman Ave
Las Cruces, NM 88011-8255
Phone (575) 556-7455

4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN9309082FLMDCritical Care Medicine Registered Nurse
901636MSMDFamily Nurse Practitioner
336781AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport Current Accepting new patients
Main Street Anesthesia of New Mexico, LLC CurrentSince Sep 5, 2025 Accepting new patients
Gulf Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2020 Accepting new patients
Las Cruces HB Medical Services LLC CurrentSince Dec 1, 2025 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Nov 20, 2021 Accepting new patients
USA Health Anesthesia Billing Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Best Anesthesia, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Hattiesburg Clinic PA CurrentSince Nov 17, 2025 Accepting new patients
Hattiesburg Clinic, PA CurrentSince Nov 17, 2025 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Nov 20, 2021 Accepting new patients

Locations

1700 Center St
Mobile, AL 36604
Phone (251) 415-1000

2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4855

14225 Dedeaux Rd
Gulfport, MS 39503
Phone (228) 328-0972

4500 13th St
Fl 2
Gulfport, MS 39501
Phone (228) 865-3281

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

4311 E Lohman Ave
Las Cruces, NM 88011
Phone (505) 556-6800

4351 E Lohman Ave
Ste 102
Las Cruces, NM 88011
Phone (575) 532-3300

117 E 19th St
Roswell, NM 88201
Phone (505) 727-2000

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1639794324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17989 RESTORATION CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395035237",
            "telephone_number": "321-749-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413529",
            "telephone_number": "520-742-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 S 28th Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017246",
            "country_code": "US",
            "telephone_number": "601-261-3606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Fisher St",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395342502",
            "country_code": "US",
            "telephone_number": "321-749-9317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "RYAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "336781",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "901636",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "FL",
            "license": "RN9309082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.