NPIMap

Individual provider Active NPI

Renny Abraham, MD

  • Internal Medicine Physician
  • Clarkston, MI
National Provider Identifier
1811995673
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301074879 Issued in MI
Practice address
5701 Bow Pointe Drive
Suite 100
Clarkston, MI 48346-3199
Phone
(248) 625-2621
Fax
(248) 625-2622
NPI assigned
Jul 14, 2005
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301074879 MI
Internal Medicine Physician 207R00000X 4301074879 MI Primary

Addresses

Primary practice location

5701 Bow Pointe Drive
Suite 100
Clarkston, MI 48346-3199

Mailing address

5701 Bow Pointe Dr Ste 100
Clarkston, MI 48346-3199
Phone (248) 625-2621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504000034 MI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8022006675 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Michigan Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

44003 Partridge Creek Blvd
Clinton TWP, MI 48038-0002
Phone (342) 627-3267

5701 Bow Pointe Dr
Suite 100
Clarkston, MI 48346-3199
Phone (248) 625-2621

834 S Lapeer Rd
Suite 100
Oxford, MI 48371-5039
Phone (248) 384-8320

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Internal Medicine CurrentSince Oct 1, 2013 Accepting new patients
Clarkston Urgent Care PLC Current Accepting new patients
McLaren Community Based Primary Care Group Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
McLaren Community Based Primary Care Group CurrentSince Jan 1, 2026 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Oct 1, 2013 Accepting new patients
Chelsea Community Hospital PastSince Jul 1, 2014 Accepting new patients
Hospital Consultants, P.C. Internal Medicine Past Accepting new patients
Lourdes, Inc Past Accepting new patients

Locations

42557 Woodward Ave
Ste 150
Bloomfield Hills, MI 48304
Phone (248) 253-1525

5625 Water Tower Pl
Ste 200
Clarkston, MI 48346
Phone (248) 625-2621

5625 Water Tower Pl
Ste 300
Clarkston, MI 48346
Phone (248) 625-2621

5701 Bow Pointe Dr
Ste 1
Clarkston, MI 48346
Phone (248) 625-2273

5701 Bow Pointe Dr
Ste 100
Clarkston, MI 48346
Phone (248) 625-2621

5701 Bow Pointe Dr
Ste 120
Clarkston, MI 48346
Phone (248) 625-2273

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

51 S Washington St
Ste G
Oxford, MI 48371
Phone (248) 940-1211

834 S Lapeer Rd
Ste 100
Oxford, MI 48371
Phone (248) 384-8320

44200 Woodward Ave
Ste 112
Pontiac, MI 48341
Phone (248) 384-8100

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

3601 W 13 Mile Rd
Royal Oak, MI 48073

2300 Watkins Lake Rd
Waterford, MI 48328
Phone (248) 673-1720

Interoperability endpoints

  • Direct secure messaging: rabraham1158995@direct.hfhs.org
  • Direct secure messaging: renny.abraham.1@3928.direct.athenahealth.com

Organizations & group practices 10

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 6

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": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1811995673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DR STE 100",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463199",
            "telephone_number": "248-625-2621",
            "fax_number": "248-625-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BOW POINTE DRIVE",
            "address_2": "SUITE 100",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483463199",
            "telephone_number": "248-625-2621",
            "fax_number": "248-625-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "RENNY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301074879",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301074879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.