Abe Medical
Organization Active NPI Family Medicine Physician · San Angelo, TX
NPI 1750116919 · NPPES record last updated Sep 26, 2025
Key facts
- NPI
- 1750116919
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ABE MEDICAL
- Practice address
- 223 S Abe St
San Angelo, TX 76903-6305 - Phone
- (325) 655-7969
- NPI assigned
- Sep 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Jorge Abalos, DO
- Title
- Medical Doctor
- Phone
- (325) 655-7969
Practitioners 3
-
Araceli Romero, FNP
-
Jorge Abalos, DO
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2318791 | Abe Medical, PLLC | Certificate of waiver | Feb 17, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241127001685 | TX | Part B Supplier - Clinic/Group Practice | 7315472362 |
Receives reassigned benefits from 3 practitioners Practice locations: San Angelo, TX; Odessa, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
223 S Abe St
San Angelo, TX 76903-6305
Mailing address
223 S Abe St
San Angelo, TX 76903-6305
Phone (325) 655-7969
Other practice location 1
523 N Alleghaney Ave
Odessa, TX 79761-4405
Phone (432) 225-7600
Other providers in San Angelo, TX
- 1St Texas Home Health of San Angelo, Inc.
- 4C2W, LLC
- Eva Mariquit Beniga Abarquez
- Ahmed Abdelrahman
- Joni Beth Abel
- Stuart Lee Abramson
- Accurate Hospice and Palliative Care, Inc
- Abner Jorge Acevedo-Peon
- Jackson Todd Achilles
All providers in San Angelo, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2025. 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.
- 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.