Individual provider Active NPI

Kurian Chiramel Abraham, MD

  • Geriatric Psychiatry Physician
  • Charlotte, NC
National Provider Identifier
1891754297
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
200100821 Issued in NC
Practice address
3101 Latrobe Dr
Charlotte, NC 28211-4849
Phone
(704) 817-8331
Fax
(704) 817-8975
NPI assigned
Mar 23, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 200100821 NC
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 200100821 NC
Psychiatry Physician 2084P0800X 200100821 NC
Geriatric Psychiatry Physician 2084P0805X 200100821 NC Primary
Behavioral Neurology & Neuropsychiatry Physician 2084B0040X 200100821 NC

Addresses

Primary practice location

3101 Latrobe Dr
Charlotte, NC 28211-4849

Mailing address

3101 Latrobe Dr
Charlotte, NC 28211-4849
Phone (704) 817-8331

Other practice location 1

218 Baldwin Ave
Charlotte, NC 28204-3110
Phone (704) 817-8331

Other identifiers 3

IdentifierTypeStateIssuer
200100821OtherNCNC LICENSE NUMBER
136NTOtherNCBCBS
89136NTMedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040330000556 NC Practitioner - Psychiatry 4385636687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Eastern Virginia Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Hope Specialty ClinicGroup PAC ID 9032373477, 2 clinicians

Practice addresses (Care Compare)

3101 Latrobe Dr
Charlotte, NC 28211-4849
Phone (704) 817-8331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200100821NCMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Specialty Clinic Geriatric Medicine CurrentSince Mar 28, 2012 Accepting new patients
Rha Health Services Inc CurrentSince Sep 8, 2011 Accepting new patients
Rha Health Services Inc Current Accepting new patients
Rha Health Services, Inc CurrentSince Sep 8, 2011 Accepting new patients
Blue Ridge Healthcare Hospitals, Inc. Past Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

218 Baldwin Ave
Charlotte, NC 28204
Phone (704) 448-0217

3101 Latrobe Dr
Charlotte, NC 28211
Phone (704) 376-7362

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1891754297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114849",
            "telephone_number": "704-817-8331",
            "fax_number": "704-817-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114849",
            "telephone_number": "704-817-8331",
            "fax_number": "704-817-8975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Baldwin Ave",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282043110",
            "country_code": "US",
            "telephone_number": "704-817-8331",
            "fax_number": "704-817-8975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "KURIAN",
        "middle_name": "CHIRAMEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2023-03-07",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "200100821",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NC",
            "license": "200100821",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200100821",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NC",
            "license": "200100821",
            "primary": true
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NC",
            "license": "200100821",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE NUMBER",
            "identifier": "200100821",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "136NT",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136NT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.