Active NPI
Thomas Abey Abraham, M.D.
- Pulmonary Disease Physician
- Kalamazoo, MI
National Provider Identifier
1972607422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- TA036531
- Practice address
- 5020 Lake Forest Dr
Kalamazoo, MI 49008-3382 - Phone
- (269) 381-1864
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | TA036531 | MI | Primary |
Addresses
Primary practice location
5020 Lake Forest Dr
Kalamazoo, MI 49008-3382
Mailing address
5020 Lake Forest Dr
Kalamazoo, MI 49008-3382
Phone (269) 381-1864
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4830001 | Other | MI | PHP |
| 1386418 | Medicaid | MI | |
| 290C96034 | Other | MI | BC/BS OF MICHIGAN |
| 382356205106 | Other | MI | COMMUNITY CHOICE OF MICH |
| 118361 | Other | GRT LAKES HLTH PLAN | |
| 290006922 | Other | MI | RAILROAD MEDICARE |
| 290C913410 | Other | BCBS GRP PIN | |
| 4986915 | Medicaid | MI | |
| 290390013 | Other | BCBS IND PIN | |
| 4379445 | Other | AETNA | |
| P00606307 | Other | MI | RAILROAD MEDICARE |
| 4809115 | Other | PHP | |
| P55003 | Other | MI | BLUECARE NETWORK |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA036531 | MI | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Midwest, PC | Past | Accepting new patients | |
| Bronson Methodist Hospital | Pulmonary Disease | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Kalamazoo, MI
- NPI 1245532456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1972607422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5020 LAKE FOREST DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490083382",
"telephone_number": "269-381-1864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5020 LAKE FOREST DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490083382",
"telephone_number": "269-381-1864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAHAM",
"first_name": "THOMAS",
"middle_name": "ABEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "TA036531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "4830001",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386418",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF MICHIGAN",
"identifier": "290C96034",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY CHOICE OF MICH",
"identifier": "382356205106",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRT LAKES HLTH PLAN",
"identifier": "118361",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "290006922",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GRP PIN",
"identifier": "290C913410",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4986915",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IND PIN",
"identifier": "290390013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4379445",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00606307",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP",
"identifier": "4809115",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECARE NETWORK",
"identifier": "P55003",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.