Edward Herbert Abraham, M.D.
Individual provider Active NPI Radiation Oncology Physician · Hot Springs, AR
NPI 1710093166 · NPPES record last updated Feb 28, 2024
Key facts
- NPI
- 1710093166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- E-8136 (AR)
- Practice address
- 1455 Higdon Ferry Rd Ste C
Hot Springs, AR 71913-6456 - Phone
- (501) 622-2100
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 7
Medicare Care Compare profile
- 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 PA
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
- St Anthony Regional Hospital & Nursing Home
- CHI St. Vincent Hospital Hot Springs
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in OK, KS, MO, IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25750 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Health System | Current |
Accepting new patients | |
| Kansas City Urology Care, P.a. | Current |
Accepting new patients | |
| Northeastern Health System | Current | Accepting new patients | |
| Saint Francis Hospital Muskogee Inc | Current |
Accepting new patients | |
| Coffeyville Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Warren Clinic Inc | Current |
Accepting new patients | |
| Northeastern Health System | Current |
Accepting new patients | |
| Coffeyville Regional Medical Center Inc | Current |
Accepting new patients | |
| Pratt Radiation Oncology Associates Inc | Radiation Oncology | Past | Accepting new patients |
| Muskogee RT Associates LLC | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 78272 | MA | |
| Radiation Oncology Physician | 2085R0001X | 25750 | OK | |
| Radiation Oncology Physician | 2085R0001X | E-8136 | AR | Yes |
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
Other providers in Hot Springs, AR
- Dixie L Abbott
- Ahmed Abdelfattah
- Mary Darlene Abernathy
- Abilities Unlimited of Hot Springs Ar Inc
- Amanah Abraham
- Jacob E Abraham
- Yuba Raj Acharya
- Acs Primary Care Physicians of Arkansas PA
- Acse Anesthesia, PLC
- Coy Adams
All providers in Hot Springs, AR · Radiation Oncology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.