Individual provider Active NPI

Rahul Kurian Abraham, DPM

  • Foot & Ankle Surgery Podiatrist
  • Orange, CA
National Provider Identifier
1740713882
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5655 Issued in CA
Practice address
1038 E Chapman Ave
Orange, CA 92866-2111
Phone
(714) 622-7271
Fax
(855) 439-9585
NPI assigned
Apr 5, 2017
Last updated
Nov 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X E5655 CA Primary

Addresses

Primary practice location

1038 E Chapman Ave
Orange, CA 92866-2111

Mailing address

1038 E Chapman Ave
Orange, CA 92866-2111
Phone (714) 622-7271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201202003434 CA Practitioner - Podiatry 6608145883 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Foot and Ankle Center IncGroup PAC ID 2365839883, 6 clinicians

Practice addresses (Care Compare)

6216 Brockton Ave
Suite 211
Riverside, CA 92506-2223
Phone (909) 946-6643

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of nail tissue159
Removal or shaving of skin growth30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5655CAMDFoot & Ankle Surgery Podiatrist
5655CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upperline Healthcare California, PC Foot & Ankle Surgery CurrentSince Sep 1, 2022 Accepting new patients
Apex Healthcare Medical Center Inc CurrentSince Nov 15, 2020 Accepting new patients
Apex Healthcare Medical Center Inc CurrentSince Nov 15, 2020 Accepting new patients
Upperline Healthcare California PC Foot & Ankle Surgery CurrentSince Sep 1, 2022 Accepting new patients
Riverside Foot and Ankle Center Inc Foot & Ankle Surgery CurrentSince Jul 1, 2024 Accepting new patients
Primecare Medical Group Past Accepting new patients
Empire Foot and Ankle Center Inc. Foot & Ankle Surgery Past Accepting new patients
Foot and Ankle Care Team Inc Foot & Ankle Surgery Past Accepting new patients

Locations

241 W Olive Ave
Burbank, CA 91502
Phone (818) 848-5561

15315 Fairfield Ranch Rd
Ste 220
Chino Hills, CA 91709
Phone (909) 789-1130

308 W 6th St
Ste 205
Corona, CA 92882
Phone (951) 417-4556

41889 State Highway 74
Hemet, CA 92544
Phone (951) 652-8700

29826 Haun Rd
Ste 305
Menifee, CA 92586
Phone (951) 766-0374

728 N Euclid Ave
Ontario, CA 91762
Phone (909) 984-5614

1038 E Chapman Ave
Orange, CA 92866
Phone (714) 771-4191

6216 Brockton Ave
Ste 211
Riverside, CA 92506
Phone (909) 772-4226

29826 Haun Rd
Ste 200
Sun City, CA 92586
Phone (951) 237-8304

3521 Lomita Blvd
Ste 103
Torrance, CA 90505

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rahul.abraham.1@4399.direct.athenahealth.com
  • Direct secure messaging: rahul.abraham.2@4399.direct.athenahealth.com
  • Direct secure messaging: rahul.abraham.3@4399.direct.athenahealth.com
  • Direct secure messaging: rahul.abraham.4@4399.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1740713882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662111",
            "telephone_number": "714-622-7271",
            "fax_number": "855-439-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662111",
            "telephone_number": "714-622-7271",
            "fax_number": "855-439-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "RAHUL",
        "middle_name": "KURIAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.