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DR. MATTHEW MACK ABRAHAM M.D. NPI 1174511794


NPI Information

NPI: 1174511794
Provider Name: DR. MATTHEW MACK ABRAHAM, M.D.
Classification: Family Medicine - 207QS1201X
Entity Type: Individual

Specialization: Sleep Medicine

PECOS Registration: Yes

CLIA Number: 19D2077613

Address:
100 ASMA BLVD
SUITE 205
LAFAYETTE, LA
ZIP 70508
Phone: (337) 289-5605
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DR. Matthew Mack Abraham, M.D. is a sleep medicine family medicine in Lafayette, LA with 26 years of experience. The provider is a Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. DR. Matthew Mack Abraham, M.D. NPI is 1174511794. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 ASMA BLVD
SUITE 205
LAFAYETTE, LA
ZIP 70508-858
Phone: (337) 289-5605
Fax: (337) 289-5609

The NPI 1174511794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 19D2077613 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)
  • Sleep monitoring of patient (6 years or older) in sleep lab (HCPCS:95810)
  • Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube (HCPCS:95811)

The enumeration date for this NPI number is 10/7/2005 and was last updated on 11/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine024082LOUISIANANo
2207QS1201XFamily MedicineSleep Medicine024082LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11488909MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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