Individual provider Active NPI

Sarada Abraham, M.D.

  • Family Medicine Physician
  • Oconomowoc, WI
National Provider Identifier
1962851972
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
71632 Issued in WI
Practice address
915 Summit Ave
Oconomowoc, WI 53066-3921
Phone
(414) 348-8970
Fax
(262) 360-2246
NPI assigned
Jun 9, 2016
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125.068690 IL
Family Medicine Physician 207Q00000X 71632 WI Primary

Addresses

Primary practice location

915 Summit Ave
Oconomowoc, WI 53066-3921

Mailing address

915 Summit Ave
Oconomowoc, WI 53066-3921
Phone (414) 348-8970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190912002343 WI Practitioner - Family Practice 5890088066 Reassigns benefits to 1 organization
I20240427001747 AK Practitioner - Family Practice 5890088066 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc Family Medicine Current Accepting new patients
Norton Sound Health Corporation Family Medicine CurrentSince Mar 7, 2024 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Norton Sound Health Corporation Current Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Sep 1, 2019 Accepting new patients
Norton Sound Health Corporation CurrentSince Mar 7, 2024 Accepting new patients

Locations

N112W15415 Mequon Rd
Germantown, WI 53022
Phone (262) 250-7800

2311 N Prospect Ave
Milwaukee, WI 53211
Phone (414) 319-3000

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 805-8700

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: syabraham@direct.nshcorp.org

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1962851972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663921",
            "telephone_number": "414-348-8970",
            "fax_number": "262-360-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 SUMMIT AVE",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663921",
            "telephone_number": "414-348-8970",
            "fax_number": "262-360-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "SARADA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.068690",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "71632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oconomowoc, WI

Sources for this page

Verify at the official NPI Registry.