Individual provider Active NPI

John Abraham, MD

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1962634535
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27255 Issued in 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
Last updated
Dec 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27255 OK Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20141017001471 OK Practitioner - Family Practice 6901027812 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
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, LLCGroup PAC ID 9931562956, 203 clinicians
Primary Care and Wellness of Tulsa, PLLCGroup PAC ID 2365968823, 2 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27255OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Sep 30, 2014 Accepting new patients
Dr Angela Christy PLLC Family Medicine CurrentSince Sep 1, 2018 Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Oct 24, 2024 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Sep 30, 2014 Accepting new patients
Crossover Health Services Inc CurrentSince Dec 22, 2020 Accepting new patients
Juno Medical Practice Family Medicine CurrentSince Sep 10, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Feb 14, 2022 Accepting new patients
Crossover Health Services Inc CurrentSince Dec 22, 2020 Accepting new patients
Primary Care and Wellness of Tulsa, PLLC Family Medicine CurrentSince Jun 3, 2025 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Feb 14, 2022 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

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1705 E 19th St
Ste 600
Tulsa, OK 74104
Phone (918) 742-8847

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

21 N Greenwood Ave
Ste 1A
Tulsa, OK 74120
Phone (918) 380-8860

3202 S Memorial Dr
Ste 9
Tulsa, OK 74145
Phone (405) 996-6194

5635 N Martin Luther King Jr Blvd
Tulsa, OK 74126
Phone (918) 398-9460

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

7912 E 31st Ct
Ste 220
Tulsa, OK 74145
Phone (352) 572-5457

7912 E 31st Ct
Ste 300
Tulsa, OK 74145
Phone (918) 743-8200

940 E 36th St N
Tulsa, OK 74106
Phone (918) 398-9460

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16190/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/6925/brand/1/csg/1/fhir/r4
  • Direct secure messaging: john.abraham.1@20767.direct.athenahealth.com
  • Direct secure messaging: john.abraham@868266183622660.direct.elationemr.com
  • Direct secure messaging: john.abraham@direct.stjohnhealthsystem.com

Organizations & group practices 12

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1962634535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705E 19TH ST 302",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045410",
            "telephone_number": "918-748-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E 19TH ST STE 600",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045417",
            "telephone_number": "918-872-6880",
            "fax_number": "918-293-3156"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 Broadway Ph",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100122614",
            "country_code": "US",
            "telephone_number": "800-731-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "27255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.