John Abraham, MD
Individual provider Active NPI Family Medicine Physician · Tulsa, OK
NPI 1962634535 · NPPES record last updated Dec 17, 2024
Key facts
- NPI
- 1962634535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 27255 (OK)
- Practice address
- 1705 E 19TH St Ste 600
Tulsa, OK 74104-5417 - Phone
- (918) 872-6880
- Fax
- (918) 293-3156
- NPI assigned
- Aug 17, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Morehouse School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Usacs Observation Medicine Services of Oklahoma, LLC
Primary Care and Wellness of Tulsa, PLLC
Practice addresses (Care Compare)
12451 E 100TH St N
Owasso, OK 74055-4600
Phone (918) 274-5000
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3131
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2101
3202 S Memorial Dr
Suite 9
Tulsa, OK 74145-1323
Phone (918) 221-0335
Hospital & facility affiliations
- Ascension St John Medical Center
- St John Owasso
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141017001471 | OK | Practitioner - Family Practice | 6901027812 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossover Health Services Inc | Current |
Accepting new patients | |
| St. John Physicians, Inc. | Family Medicine | Current |
Accepting new patients |
| Primary Care and Wellness of Tulsa, PLLC | Family Medicine | Current |
Accepting new patients |
| Harvard Family Physicians P C | Family Medicine | Current |
Accepting new patients |
| Cogent Healthcare of Texas, PA | Family Medicine | Current |
Accepting new patients |
| St. John Physicians, Inc | Current |
Accepting new patients | |
| Juno Medical Practice | Family Medicine | Current |
Accepting new patients |
| Crossover Health Services Inc | Current |
Accepting new patients | |
| Usacs Observation Medicine Services of Oklahoma, LLC | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current |
Accepting new patients |
| Owasso Medical Facility, Inc | Past | Accepting new patients | |
| National Family Medical Associates, LLC | Family Medicine | Past | Accepting new patients |
Locations
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152
5635 N Martin Luther King Jr Blvd
Tulsa, OK 74126
Phone (918) 398-9460
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
3202 S Memorial Dr
Ste 9
Tulsa, OK 74145
Phone (405) 996-6194
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
7912 E 31st Ct
Ste 300
Tulsa, OK 74145
Phone (918) 743-8200
1705 E 19th St
Ste 600
Tulsa, OK 74104
Phone (918) 742-8847
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
940 E 36th St N
Tulsa, OK 74106
Phone (918) 398-9460
21 N Greenwood Ave
Ste 1A
Tulsa, OK 74120
Phone (918) 380-8860
7912 E 31st Ct
Ste 220
Tulsa, OK 74145
Phone (352) 572-5457
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
Interoperability endpoints
- https://api.platform.athenahealth.com/6925/brand/1/csg/1/fhir/r4
- john.abraham@direct.stjohnhealthsystem.com
- john.abraham.1@20767.direct.athenahealth.com
- john.abraham@868266183622660.direct.elationemr.com
- https://api.platform.athenahealth.com/16190/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27255 | OK | Yes |
Addresses
Primary practice location
1705 E 19TH St Ste 600
Tulsa, OK 74104-5417
Mailing address
1705E 19TH St 302
Tulsa, OK 74104-5410
Phone (918) 748-7585
Other practice location 1
632 Broadway Ph
New York, NY 10012-2614
Phone (800) 731-4254
Other providers in Tulsa, OK
- Hassan Awad Abouhouli
- Above & Beyond Occupational Therapy, P.C.
- Above and Beyond ABA Ok LLC
- Brian Eugene Abraham
- Cassie Marie Abraham
- Rebecca Beran Abraham
- Joel Nathan Abramovitz
- Abraxas Scientific
- Christopher Wayne Abshere
- Absolute Chiropractic, Inc.
All providers in Tulsa, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.