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HEATHER N ABRAHAM MD
NPI 1154616985
Internal Medicine in Troy, MI

Active since June 09, 2011PECOS EnrolledAccepts Medicare Assignment
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083(313) 745-4525(313) 966-7305 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heather N Abraham Md NPPES

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

HEATHER N ABRAHAM MD (NPI 1154616985) is an individual internal medicine provider in Troy, Michigan, licensed in Michigan (4301098488) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Detroit Receiving Hospital, and is a graduate of Wayne State University School Of Medicine (2011).

NPPES Registry Identity

NPI1154616985
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHEATHER N ABRAHAMCredential: MD
Location Address1560 E MAPLE RD, SUITE 400-CREDENTIALINGTroy, MI 48083-1138
Mailing Address50 E Canfield StDetroit, MI 48201-1804 · (313) 745-4525 · Fax (313) 966-7305
Phone(313) 745-4525
Fax(313) 966-7305
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2011
Enumeration DateJune 9, 2011
Last NPPES UpdateMay 23, 2016
✔ NPI 1154616985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301098488
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 4301098488 (MI)
1560 E MAPLE RD, Troy, MI 48083
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather N Abraham Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082915780
PECOS Enrollment IDI20160527000952
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services18 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

ROSS MAYERHOFF MD
Otolaryngology
1560 E MAPLE RD, SUITE 200
TROY, MI 48083
Oakland County (248) 581-5200
SAMI GAUTHIER NP
Nurse Practitioner (Family)
1560 E MAPLE RD
TROY, MI 48083
Oakland County (248) 581-5200
TESS A MCCREADY D.O.
Family Medicine
1560 E MAPLE RD, SUITE 101
TROY, MI 48083
Oakland County (248) 581-5100
JENNIFER M GIDEON FNP
Nurse Practitioner (Family)
1560 E MAPLE RD, SUITE 400 - CREDENTIALING
TROY, MI 48083
Oakland County (313) 745-4525
GEORGIA MICHALOPOULOU PHD
Psychologist
1560 E MAPLE RD
TROY, MI 48083
Oakland County (586) 799-4350
TROY SC CENTER LLC
Clinic/Center (Ambulatory Surgical)
1560 E MAPLE RD
TROY, MI 48083
Oakland County (248) 817-2348
KATHLEEN PILCHOWSKI M.D.
Internal Medicine
1560 E MAPLE RD, SUITE 400-CREDENTIALING DEPARTMENT
TROY, MI 48083
Oakland County (313) 745-7999
NEHMAN LORENZO LAUDER MD
Family Medicine
1560 E MAPLE RD, STE 101
TROY, MI 48083
Oakland County (248) 581-5100

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 Heather Abraham's NPI number?

The NPI number for Heather Abraham is 1154616985. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Where is Heather Abraham located?

Heather Abraham practices at 1560 E Maple Rd Suite 400-Credentialing, Troy, MI 48083. The listed phone number is (313) 745-4525.

What is Heather Abraham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Heather Abraham enrolled in Medicare?

Yes. Heather Abraham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Abraham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Heather Abraham 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.

Is Heather Abraham affiliated with any hospitals?

According to CMS data, Heather Abraham is affiliated with Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for Heather Abraham was last updated on May 23, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.