ASHRITA ABRAHAM M.D.
NPI 1164835880
Internal Medicine - Critical Care Medicine in Kansas City, MO

Q: What is Ashrita Abraham's NPI number?

The NPI number for Ashrita Abraham is 1164835880. It was assigned to this individual provider in the NPPES registry on June 10, 2014.

Q: What is Ashrita Abraham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Ashrita Abraham was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 10, 2014PECOS EnrolledAccepts Medicare Assignment

77.28/100

CMS Quality Rating

4321 WASHINGTON ST STE 6000, KANSAS CITY, MO 64111(816) 756-2255(816) 931-4080 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 30, 2022, Sep 1, 2020 (2 updates tracked since 2020).

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About Ashrita Abraham M.d. NPPES

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

ASHRITA ABRAHAM M.D. (NPI 1164835880) is an individual critical care medicine provider in Kansas City, Missouri, licensed in Louisiana (323445) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2014).

NPPES Registry Identity

NPI1164835880

Entity TypeIndividualFemale

Primary Taxonomy207RC0200X

Provider Legal NameASHRITA ABRAHAMCredential: M.D.

Location Address4321 WASHINGTON ST STE 6000Kansas City, MO 64111-5930

Mailing Address901 E 104th St # Ms 400Kansas City, MO 64131-4517 · (816) 756-2255 · Fax (816) 931-4080

Phone(816) 756-2255

Fax(816) 931-4080

Sole ProprietorYes

Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2014

Enumeration DateJune 10, 2014

Last NPPES UpdateNovember 30, 20222 updates tracked since enumeration

NPPES CertifiedNovember 30, 2022

✔ NPI 1164835880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in LA · 323445

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4321 WASHINGTON ST STE 6000, Kansas City, MO 64111

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ashrita Abraham M.d. 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 ID143445189

PECOS Enrollment IDI20220707003322, I20220707003507

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 Ashrita Abraham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saint Luke's Physician Group Inc

7.6 mi

Family Medicine

901 E 104TH ST, MS 400N
Kansas City, MO 64131

Reassigned Medicare billing, Kansas and Missouri enrollments
Medicare enrollment name: Saint Lukes Physician Group Inc
845 clinicians in this Medicare group

NPI 1093263717 (816) 502-8782

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

Areas of Expertise CMS Part B claims 18

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

157 services77 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

138 services85 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

54 services47 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

50 services49 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

49 services48 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

48 services48 patients

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.

40 services34 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

30 services29 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.

30 services24 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

24 services23 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

21 services17 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

21 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

14 services14 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

13 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

11 services11 patients

Test to determine lung volumes using sensors 94726

11 services11 patients

Test to examine how well the lungs exchange gases 94729

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number170185

Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County

Emergency services

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260138

Location4401 Wornall RoadKansas City, MO 64111 · Jackson County

Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260216

Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64111 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

$127.61 typical visit price

range $55.29 – $168.52

Typical copayment $31.90 (range $13.82 – $42.13)

Most-billed visit code 99204

Established Patient

$97.82 typical visit price

range $17.60 – $137.20

Typical copayment $24.45 (range $4.40 – $34.30)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.28/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.71

Promoting Interoperability

100

Improvement Activities

Cost

50.58

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier12 claims12 services$809.06 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers59 claims59 services$803.24 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers11 claims11 services$76.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

HAMNA AHMAD M.D.

Internal Medicine (Pulmonary Disease)