NPIMap

Individual provider Active NPI

Edward Herbert Abraham, M.D.

  • Radiation Oncology Physician
  • Hot Springs, AR
National Provider Identifier
1710093166
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
E-8136 Issued in AR
Practice address
1455 Higdon Ferry Rd Ste C
Hot Springs, AR 71913-6456
Phone
(501) 622-2100
NPI assigned
Aug 21, 2006
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 78272 MA
Radiation Oncology Physician 2085R0001X 25750 OK
Radiation Oncology Physician 2085R0001X E-8136 AR Primary

Addresses

Primary practice location

1455 Higdon Ferry Rd Ste C
Hot Springs, AR 71913-6456

Mailing address

587 Hanover Center Roadr
Hanover, NH 03755
Phone (603) 252-9102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS, MO, IA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20090127000215 OK Practitioner - Radiation Oncology 1951391606 Reassigns benefits to 3 organizations
I20190423000682 KS Practitioner - Radiation Oncology 1951391606 Reassigns benefits to 2 organizations
I20190425002334 MO Practitioner - Diagnostic Radiology 1951391606 Reassigns benefits to 1 organization
I20260617004356 IA Practitioner - Internal Medicine 1951391606 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Harvard Medical School, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone (913) 341-7985

17525 Medical Ctr Pkwy
Independence, MO 64057-1824
Phone (816) 994-3150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25750OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Feb 26, 2024 Accepting new patients
Coffeyville Regional Medical Center Inc CurrentSince Jun 7, 2023 Accepting new patients
Coffeyville Regional Medical Center, Inc. CurrentSince Jun 7, 2023 Accepting new patients
Northeastern Health System CurrentSince Dec 5, 2021 Accepting new patients
Saint Francis Hospital Muskogee Inc CurrentSince Feb 26, 2024 Accepting new patients
Northeastern Health System Current Accepting new patients
Kansas City Urology Care, P.a. CurrentSince Apr 1, 2019 Accepting new patients
Northeastern Health System CurrentSince Dec 5, 2021 Accepting new patients
Muskogee RT Associates LLC Radiation Oncology Past Accepting new patients
Pratt Radiation Oncology Associates Inc Radiation Oncology Past Accepting new patients

Locations

1400 W 4th St
Coffeyville, KS 67337
Phone (620) 251-1200

10701 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 338-5585

5300 Indian Creek Pkwy
Overland Park, KS 66207
Phone (913) 456-5274

8551 Bluejacket St
Overland Park, KS 66214
Phone (913) 341-7985

17525 Medical Center Pkwy
Independence, MO 64057
Phone (816) 836-6875

4321 Washington St
Ste 5300
Kansas City, MO 64111
Phone (816) 531-1234

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Organizations & group practices 12

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 7

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1710093166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 HANOVER CENTER ROADR",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "03755",
            "telephone_number": "603-252-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 HIGDON FERRY RD STE C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136456",
            "telephone_number": "501-622-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "EDWARD",
        "middle_name": "HERBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MA",
            "license": "78272",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OK",
            "license": "25750",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AR",
            "license": "E-8136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.