Active NPI
Joel Verghese Abraham, MD
- Internal Medicine Physician
- Altamonte Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME110079
- Practice address
- 140 N Westmonte Dr
Altamonte Springs, FL 32714-3313 - Phone
- (407) 862-4500
- Fax
- (407) 862-1173
- NPI assigned
- May 22, 2007
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2014013908 | MO | |
| Internal Medicine Physician | 207R00000X | 48651 | KY | |
| Internal Medicine Physician | 207R00000X | 2552631 | NY | |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 48651 | KY | |
| Internal Medicine Physician | 207R00000X | ME110079 | FL | Primary |
Addresses
Primary practice location
140 N Westmonte Dr
Altamonte Springs, FL 32714-3313
Mailing address
5130 Sunforest Dr Ste 300
Tampa, FL 33634-6327
Phone (727) 824-0780
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100377280 | Medicaid | KY | |
| 209272 | Other | KY | SIHO |
| 000296467 | Other | KY | ANTHEM |
| 50101122 | Other | KY | PASSPORT |
| 003667400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1621 W 1St St
Wellmed at West Sanford
Sanford, FL 32771-1617
Phone (407) 322-4431
7800 S Hwy 1792 144
Optum Fern Park
Fern Park, FL 32730-2259
Phone (407) 636-8580
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48651 | KY | MD | Internal Medicine Physician |
| 2014013908 | MO | MD | Internal Medicine Physician |
| 2552631 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Management of Florida Inc | Current | Accepting new patients | |
| Optumcare Florida LLC | Internal Medicine | Current | Accepting new patients |
| Optumcare Florida, LLC | Current | Accepting new patients |
Locations
140 N Westmonte Dr
Altamonte Springs, FL 32714
Phone (407) 862-4500
202 N Park Ave
Apopka, FL 32703
Phone (407) 889-4711
7800 US Highway 1792
Ste 144
Fern Park, FL 32730
Phone (407) 636-8580
2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178
1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895
1621 W 1st St
Sanford, FL 32771
Phone (407) 322-4431
10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093
5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835
2304 Aloma Ave
Ste 100
Winter Park, FL 32792
Phone (407) 679-9222
8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- joel.abraham@wellmed.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Port St Lucie, FL
- NPI 1033395397
-
- Hospitalist Physician
- Tampa, FL
- NPI 1659884294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1952511917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5130 SUNFOREST DR STE 300",
"city": "TAMPA",
"state": "FL",
"postal_code": "336346327",
"telephone_number": "727-824-0780",
"fax_number": "813-514-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N WESTMONTE DR",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327143313",
"telephone_number": "407-862-4500",
"fax_number": "407-862-1173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "JOEL",
"middle_name": "VERGHESE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2014013908",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "48651",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "2552631",
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "KY",
"license": "48651",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME110079",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100377280",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO",
"identifier": "209272",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000296467",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50101122",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003667400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.