TRACY IVAN ABRAHAM PA
NPI 1124241872
Physician Assistant - Surgical in Bronx, NY

NPI Status: Active since April 11, 2007

Contact Information

1650 GRAND CONCOURSE
BRONX, NY
ZIP 10457
Phone: (718) 901-8484

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  • Individual
  • Male
  • Years of Experience 28
  • Physician Assistant
  • Surgical
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About TRACY ABRAHAM

This page provides the complete NPI Profile along with additional information for Tracy Abraham, a provider established in Bronx, New York with a medical specialization in Physician Assistant, focusing in surgical and more than 28 years of experience. The healthcare provider is registered in the NPI registry with number 1124241872 assigned on April 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 006753-1 (NY). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1124241872
Provider Name
TRACY IVAN ABRAHAM PA
Gender
Male
Entity Type
Individual
Location Address
1650 GRAND CONCOURSE BRONX, NY 10457
Location Phone
(718) 901-8484
Mailing Address
187 N. BROOKSIDE AVE. FREEPORT, NY 11520
Mailing Phone
(516) 546-2980
Medical School Name
OTHER
Graduation Year
1998
Is Sole Proprietor?
Yes
Enumeration Date
04-11-2007
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
006753-1
License State
NY

Medicare Participation & PECOS Enrollment Status

Tracy Abraham is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Tracy Abraham is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4385892892

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120907000000

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for TRACY IVAN ABRAHAM PA

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124241872, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 2 → 4 1 → 2 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 4 + 4 + 2 + 8 + 1 + 4 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1124241872.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Advanced Practice Midwife
1650 GRAND CONCOURSE
BRONX, NY 10457
Pharmacist (Pharmacotherapy)
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine (Gastroenterology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Obstetrics & Gynecology (Gynecology)
1650 GRAND CONCOURSE, DEPARTMENT OF OB/GYN, 5TH FLOOR
BRONX, NY 10457
Genetic Counselor, MS
1650 GRAND CONCOURSE
BRONX, NY 10457
Anesthesiology
1650 GRAND CONCOURSE, DEPT OF ANESTHESIA
BRONX, NY 10457
Radiology (Diagnostic Radiology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine (Pulmonary Disease)
1650 GRAND CONCOURSE, 1770 GRAND CONCOURSE #2G
BRONX, NY 10457
Emergency Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Surgery
1650 GRAND CONCOURSE
BRONX, NY 10457
Pediatrics
1650 GRAND CONCOURSE, 6 D
BRONX, NY 10457
Physician Assistant
1650 GRAND CONCOURSE, BRONX LEBANON HOSPITAL
BRONX, NY 10457
Internal Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine (Pulmonary Disease)
1650 GRAND CONCOURSE
BRONX, NY 10457
Nuclear Medicine (Nuclear Imaging & Therapy)
1650 GRAND CONCOURSE
BRONX, NY 10457
Internal Medicine
1650 GRAND CONCOURSE
BRONX, NY 10457
Pathology (Anatomic Pathology & Clinical Pathology)
1650 GRAND CONCOURSE
BRONX, NY 10457
Physical Therapist
1650 GRAND CONCOURSE, 11TH FLOOR PHYSICAL THERAPY SUITE
BRONX, NY 10457
Physical Therapist
1650 GRAND CONCOURSE, BRONX LEBANON HOSPITAL CENTER
BRONX, NY 10457
Internal Medicine (Hematology & Oncology)
1650 GRAND CONCOURSE, MLK JR HEALTH CENTER ,4TH FLOOR
BRONX, NY 10457

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124241872, enumerated as an "individual" on April 11, 2007.

The provider is located at 1650 GRAND CONCOURSE BRONX, NY 10457 and the phone number is (718) 901-8484.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.