Kyle Kurt Abraham, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

22860 Issued in CA

Practice address

1 Shrader St Ste 650
San Francisco, CA 94117-1036

Phone

(415) 221-0665

NPI assigned

Mar 2, 2013

Last updated

Mar 2, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enloe Health Hospital, Chico, CA, CCN 050039
• Orchard Hospital Hospital, Gridley, CA, CCN 051311

Merit-based Incentive Payment System (MIPS)

Final score

81.49 of 100Reported as group

Quality

60.52

Promoting interoperability

100

Improvement activities

40

Cost

68.7

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Enloe Medical Center

  dba Enloe Trauma & Surgery Clinic

  • Surgery Physician
  • Chico, CA
  • NPI 1477975613
  Medicare reassignment Care Compare group NPD
• Enloe Medical Center

  dba Enloe Op Center Pharmacy

  • Community/Retail Pharmacy
  • Chico, CA
  • NPI 1912949538
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Enloe Medical Center

  • General Acute Care Hospital
  • Chico, CA
  • NPI 1417901091
  Care Compare affiliation
• Orchard Hospital

  • Critical Access Hospital
  • Gridley, CA
  • NPI 1477522019
  Care Compare affiliation

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

{
    "created_epoch": "1362182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362182400000",
    "number": "1760723647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST STE 650",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171036",
            "telephone_number": "415-221-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SHRADER ST STE 650",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171036",
            "telephone_number": "415-221-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "KYLE",
        "middle_name": "KURT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-02",
        "last_updated": "2013-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "22860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Meghedi Abolian, O.D.
• Nasrin Aboudamous, FNP
• Yusuf Abouhamdah
• Diana Abovsky, L.AC.
• Abraham International (energycenter.com)
• Maria R Abraham, M.D.
• Pamela Abraham
• Shalini Abraham
• Talia Abraham
• Theodore P. Abraham, M.D.

• Physician Assistant in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.