Individual provider Active NPI

William L Abraham, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1669468195
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
28486 Issued in AZ
Practice address
5355 E Erickson Dr
Tucson, AZ 85712-2826
Phone
(520) 299-8200
Fax
(520) 299-8202
NPI assigned
Sep 20, 2005
Last updated
May 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 28486 AZ Primary

Addresses

Primary practice location

5355 E Erickson Dr
Tucson, AZ 85712-2826

Mailing address

PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 324-4780

Other identifiers 1

IdentifierTypeStateIssuer
542391MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427001063 AZ Practitioner - Internal Medicine 2062409535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Medical NetworkGroup PAC ID 9638457013, 276 clinicians

Practice addresses (Care Compare)

5355 E Erickson Dr
Tucson, AZ 85712-2826
Phone (520) 324-2308

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28486AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Medical Center CurrentSince Jan 3, 2017 Accepting new patients
TMC Medical Network CurrentSince Jan 1, 2018 Accepting new patients
Tucson Medical Center CurrentSince Jan 3, 2017 Accepting new patients
Tucson Medical Center Past Accepting new patients

Locations

1396 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 324-2160

1500 N Wilmot Rd
#C280
Tucson, AZ 85712
Phone (520) 258-4140

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

4881 E Grant Rd
Ste 201
Tucson, AZ 85712
Phone (520) 324-2414

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

5301 E Grant Rd
Unit 600
Tucson, AZ 85712

5355 E Erickson Dr
Tucson, AZ 85712
Phone (520) 299-8200

9356 E Rita Rd
Ste 180
Tucson, AZ 85747
Phone (520) 324-4499

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1669468195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-4780",
            "fax_number": "520-324-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 E ERICKSON DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122826",
            "telephone_number": "520-299-8200",
            "fax_number": "520-299-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "28486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "542391",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.