Active NPI
Ran Abrahamy, MD
- Urology Physician
- Tamarac, FL
National Provider Identifier
1851353940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0034854
- Practice address
- 7421 N University Dr
Suite 201
Tamarac, FL 33321-2977 - Phone
- (954) 722-9400
- Fax
- (954) 722-9409
- NPI assigned
- Apr 4, 2006
- Last updated
- Apr 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0034854 | FL | Primary |
Addresses
Primary practice location
7421 N University Dr
Suite 201
Tamarac, FL 33321-2977
Mailing address
2234 Colonial Blvd
Managed Care Dept
Fort Myers, FL 33907-1412
Phone (239) 931-7342
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03830070 | Medicaid | FL | |
| P00601890 | Other | FL | RAILROAD MEDICARE |
| 00266 | Other | FL | WELLCARE MEDICARE |
| 93716 | Other | FL | BCBS OF FL |
| 4077465 | Other | FL | AETNA PROVIDER # |
| QMP000003940744 | Other | FL | MOLINA |
| P0003129 | Other | FL | FLORIDA HEALTHCARE PLUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0034854 | FL | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1851353940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2234 COLONIAL BLVD",
"address_2": "MANAGED CARE DEPT",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339071412",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7421 N UNIVERSITY DR",
"address_2": "SUITE 201",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333212977",
"telephone_number": "954-722-9400",
"fax_number": "954-722-9409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAMY",
"first_name": "RAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "0034854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03830070",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00601890",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE MEDICARE",
"identifier": "00266",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "93716",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "4077465",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "QMP000003940744",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA HEALTHCARE PLUS",
"identifier": "P0003129",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.