DANIEL ABRAHA MD
NPI 1063419166
Pediatrics - Pediatric Critical Care Medicine in Fort Wayne, IN

Q: What is Daniel Abraha's NPI number?

The NPI number for Daniel Abraha is 1063419166. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Q: What is Daniel Abraha's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Daniel Abraha was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 05, 2005PECOS Enrolled

7950 W JEFFERSON BLVD, SUITE 210, FORT WAYNE, IN 46804(260) 435-7355(260) 435-7637 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2020, Dec 18, 2016 (2 updates tracked since 2016).

On this page

About Daniel Abraha Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL ABRAHA MD (NPI 1063419166) is an individual pediatric critical care medicine provider in Fort Wayne, Indiana, licensed in Indiana (01061925A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063419166

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDANIEL ABRAHACredential: MD

Location Address7950 W JEFFERSON BLVD, SUITE 210Fort Wayne, IN 46804-4140

Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3516 · Fax (260) 479-3520

Phone(260) 435-7355

Fax(260) 435-7637

Sole ProprietorNo

Enumeration DateJuly 5, 2005

Last NPPES UpdateSeptember 23, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2020

✔ NPI 1063419166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in IN · 01061925A

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

7950 W JEFFERSON BLVD, Fort Wayne, IN 46804

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Other Identifiers 1

Medicaid200816520IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel Abraha Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Daniel Abraha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran Medical Group LLC

0.2 mi

Cardiovascular Disease

7916 W JEFFERSON BLVD
Fort Wayne, IN 46804

Reassigned Medicare billing, Indiana enrollment
301 clinicians in this Medicare group

NPI 1164662805 (260) 432-2297

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANURADHA G BOMMAKANTI M.D.

Internal Medicine (Pulmonary Disease)

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-7001

VANESKA BOTTINO DA COSTA M.D.

Pediatrics (Pediatric Critical Care Medicine)

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-7001

MISS JACQUELINE SHEPARD

Physician Assistant

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-7001

EMERGENCY PROFESSIONALS OF INDIANA, P.C.

Emergency Medicine

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-2699

PAMELA THOMAS MD

Pediatrics

7950 W JEFFERSON BLVD, SUITE 210
FORT WAYNE, IN 46804

Allen County (260) 432-2297

DR. AHDY MESSIHA M.D.

Radiology (Diagnostic Radiology)

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 432-1568

LESLIE LEINS PHARMD

Pharmacist (Emergency Medicine)

7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804

Allen County (260) 435-7734

GORDON HENRY BOKHART PHARM D.

Pharmacist

7950 W JEFFERSON BLVD, RESEARCH DEPARTMENT
FORT WAYNE, IN 46804

Allen County (260) 435-7718

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Abraha's NPI number?

The NPI number for Daniel Abraha is 1063419166. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Daniel Abraha located?

Daniel Abraha practices at 7950 W Jefferson Blvd Suite 210, Fort Wayne, IN 46804. The listed phone number is (260) 435-7355.

What is Daniel Abraha's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Daniel Abraha enrolled in Medicare?

Yes. Daniel Abraha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daniel Abraha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Abraha reassigns Medicare benefits to Lutheran Medical Group LLC (Fort Wayne, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Daniel Abraha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Abraha accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Daniel Abraha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Abraha was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.