Individual provider Active NPI

Kamel Abraham, MD

  • Pain Medicine Physician
  • Springfield, OH
National Provider Identifier
1891887048
Registry record updated Mar 27, 2017
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
35054847 Issued in OH
Practice address
1117 E Home Rd
Springfield, OH 45503-2725
Phone
(937) 298-5333
Fax
(937) 298-5923
NPI assigned
Sep 28, 2006
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35054847 OH
Pain Medicine Physician 208VP0000X 35054847 OH Primary

Addresses

Primary practice location

1117 E Home Rd
Springfield, OH 45503-2725

Mailing address

3066 Kettering Blvd
Moraine, OH 45439-1960
Phone (937) 342-1619

Other identifiers 1

IdentifierTypeStateIssuer
2059776MedicaidOH

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35054847OHMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Buckeye Anesthesia Associates Anesthesiology Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Anesthesiologists Inc Anesthesiology Past Accepting new patients
Springfield Regional Anesthesia, Inc Anesthesiology Past Accepting new patients

Organizations & group practices 6

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1891887048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391960",
            "telephone_number": "937-342-1619",
            "fax_number": "937-390-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 E HOME RD",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455032725",
            "telephone_number": "937-298-5333",
            "fax_number": "937-298-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "KAMEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35054847",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OH",
            "license": "35054847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2059776",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.