Active NPI
Jasson Thomas Abraham, MD
- Plastic Surgery Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- W7254
- Practice address
- 8591 S Broadway Ave
Tyler, TX 75703-5470 - Phone
- (903) 606-8840
- Fax
- (903) 606-1121
- NPI assigned
- May 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | BP10053999 | TX | |
| Plastic Surgery Physician | 208200000X | D91840 | MD | |
| Plastic Surgery Physician | 208200000X | W7254 | TX | Primary |
Addresses
Primary practice location
8591 S Broadway Ave
Tyler, TX 75703-5470
Mailing address
6201 Greenleigh Ave # Msag407Q
Middle River, MD 21220-2004
Phone (410) 933-6423
Other practice location 1
2401 S 31st St
Temple, TX 76508-0001
Phone (254) 724-0630
Other practice location 2
4940 Eastern Ave Fl I3
Baltimore, MD 21224-2735
Phone (410) 502-7381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210809001403 | MD | Practitioner - Plastic and Reconstructive Surgery | 3678852126 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Texas Medical School at Houston, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agape Physical Therapy and Sports Rehabilitation LPUpper Chesapeake Surgical Associates, LLC
Practice addresses (Care Compare)
12 Newport Dr
Suite a
Forest Hill, MD 21050-1758
2012 S Tollgate Rd
Suite 100
Bel Air, MD 21015-5901
Phone (410) 569-5155
Hospital & facility affiliations
- Umd Upper Chesapeake Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.65 of 100
- Quality
- 69.72
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 56.6
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 49 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D91840 | MD | MD | Plastic Surgery Physician |
| BP10053999 | TX | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upper Chesapeake Surgical Associates, LLC | Current | Accepting new patients | |
| Johns Hopkins University | Plastic Surgery | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Upper Chesapeake Surgical Associates, LLC | Current | Accepting new patients |
Locations
650 McHenry Rd
Ste 1200
Aberdeen, MD 21001
Phone (443) 643-3130
600 N Wolfe St
Baltimore, MD 21287
4940 Eastern Ave
Fl I3
Baltimore, MD 21224
Phone (410) 502-7381
515 S Tollgate Rd
Ste 200
Bel Air, MD 21014
Phone (443) 643-3130
500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000
515 S Tollgate Rd
Ste 100
Bel Air, MD 21014
Phone (443) 643-3050
2012 S Tollgate Rd
Ste 100
Bel Air, MD 21015
Phone (410) 569-5155
421 S Union Ave
Ste 201
Hvre de Grace, MD 21078
Phone (443) 843-6360
6201 Greenleigh Ave
#407Q
Middle River, MD 21220
6201 Greenleigh Ave
Middle River, MD 21220
Phone (410) 933-2704
Interoperability endpoints
- jabraham841805@direct.hopkinsmedicine.org
- jabraham928367@direct.umm.edu
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Forest Hill, MD
- NPI 1578900668
-
- Durable Medical Equipment & Medical Supplies
- Bel Air, MD
- NPI 1821636002
-
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
- Surgical Physician Assistant
- Bel Air, MD
- NPI 1003448606
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1831577253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE # MSAG407Q",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8591 S BROADWAY AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757035470",
"telephone_number": "903-606-8840",
"fax_number": "903-606-1121"
}
],
"practiceLocations": [
{
"address_1": "2401 S 31st St",
"address_purpose": "LOCATION",
"city": "Temple",
"state": "TX",
"postal_code": "765080001",
"country_code": "US",
"telephone_number": "254-724-0630",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4940 Eastern Ave Fl I3",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212242735",
"country_code": "US",
"telephone_number": "410-502-7381",
"fax_number": "410-955-7060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAHAM",
"first_name": "JASSON",
"middle_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-18",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "BP10053999",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "MD",
"license": "D91840",
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "W7254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.