Konstantin Abramov, M.D.
Individual provider Active NPI Nephrology Physician · Worcester, MA
NPI 1992854707 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1992854707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 234655 (MA)
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (508) 856-3155
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Umass Memorial Medical Group Inc
Practice addresses (Care Compare)
1 Innovation Dr
Worcester, MA 01605-4307
Phone (508) 793-6100
119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-1000
14 Prospect St
Milford, MA 01757-3003
Phone (508) 473-1190
155 Union St
Marlborough, MA 01752-1228
Phone (508) 481-7390
157 Union St
Marlborough, MA 01752-1228
Phone (508) 486-5521
336 Thompson Rd
Webster, MA 01570-1587
Phone (508) 943-5224
378 Plantation St
Worcester, MA 01605-2324
Phone (508) 334-1000
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
85 Prescott St
Worcester, MA 01605-2610
Hospital & facility affiliations
- DaVita PDI Worcester
- FMC South County Dialysis Center
- FMC - Freedom Center of Worcester
- Umass Memorial Medical Center/University Campus
- Umass Memorial Health - Harrington Hospital
- Milford Regional Medical Center
- Umass Memorial Healthalliance Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 82.98
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20080814000344 | MA | Practitioner - Nephrology | 3072688761 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Current |
Accepting new patients | |
| Umass Memorial Medical Group, Inc. | Current |
Accepting new patients |
Locations
157 Union St
Marlborough, MA 01752
Phone (508) 481-5000
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
85 Prescott St
Worcester, MA 01605
Phone (508) 755-9535
Interoperability endpoints
- kabramov22057@umassmemorial.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 234655 | MA | Yes |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
PO Box 415348
Boston, MA 02241-5348
Other practice location 1
157 Union St
Marlborough, MA 01752-1228
Phone (508) 856-3155
Other practice location 2
85 Prescott St
Worcester, MA 01605-2610
Phone (508) 755-9535
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2152576 | Medicaid | MA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kabramov22057@UmassMemorial.direct-ci.com | ||
| FHIR URL | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ |
Other providers in Worcester, MA
- George Abraham
- Kevin Abraham
- Nicholas Abraham
- Shani Mary Abraham
- Sandra Abrahamian
- Eliyohu Abramowitz
- Paola Abregu
- Lathel Tecie Abreu Rolle
- Ashley Abreu
- Jaylin Ariana Abreu
All providers in Worcester, MA · Nephrology Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2020. 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.