Gary Wayne Abrams, MD
Individual provider Active NPI Ophthalmology Physician · Detroit, MI
NPI 1831136431 · NPPES record last updated Jan 24, 2017
Key facts
- NPI
- 1831136431
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 4301060220 (MI)
- Practice address
- 4717 St Antoine
Kresge Eye Institute
Detroit, MI 48201-1423 - Phone
- (313) 577-8900
- Fax
- (313) 577-0700
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Ophthalmology
- Education
- University of Oklahoma College of Medicine, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Physician Group
Practice addresses (Care Compare)
4717 Saint Antoine St
Detroit, MI 48201-1423
Phone (313) 577-8900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|---|
| I20051216000390 | MI | Practitioner - Ophthalmology | 4880506518 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301060220 | MI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physician Group | Ophthalmology | Current |
Accepting new patients |
| University Physician Group | Current |
Accepting new patients | |
| Northwest Eye Foundation | Ophthalmology | Past |
Accepting new patients |
| University Eye Physicians | Ophthalmology | Past |
Accepting new patients |
| University Physician Group | Past | Accepting new patients | |
| University Eye Associates | Ophthalmology | Past |
Accepting new patients |
Locations
4100 John R St
Detroit, MI 48201
Phone (313) 576-8530
4717 Saint Antoine St
Detroit, MI 48201
Phone (313) 577-7614
1560 E Maple Rd
Ste 400
Troy, MI 48083
1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200
Interoperability endpoints
- gary.abrams.1@19711.direct.athenahealth.com
- gabrams@direct.dmc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301060220 | MI | Yes |
Addresses
Primary practice location
4717 St Antoine
Kresge Eye Institute
Detroit, MI 48201-1423
Mailing address
1560 E Maple Rd
Suite 400-Credentialing
Troy, MI 48083-1138
Phone (313) 577-8900
Other providers in Detroit, MI
- Flommy Abraham
- Zeinab Hassan Abraham
- Carly Rose Abrahams
- Jordan Lance Abrahamson
- Bennete Abrahim
- Kamryn Blair Abraskin
- Anthony Abro
- Navin Abro
- Bowen Angela Absher
- Absolute Timely Home Care Inc
All providers in Detroit, MI · Ophthalmology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2017. 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.