SONU SUSAN ABRAHAM M.D.
NPI 1164975835
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Lexington, KY

Q: What is Sonu Abraham's NPI number?

The NPI number for Sonu Abraham is 1164975835. It was assigned to this individual provider in the NPPES registry on July 29, 2016.

Q: What is Sonu Abraham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Q: When was this NPI record last updated?

The NPPES record for Sonu Abraham was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 29, 2016PECOS EnrolledAccepts Medicare Assignment

800 ROSE ST, LEXINGTON, KY 40536(859) 323-0295(859) 323-1256 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2024, Sep 1, 2023, Jun 21, 2023 (3 updates tracked since 2023).

On this page

About Sonu Susan Abraham M.d. NPPES

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

SONU SUSAN ABRAHAM M.D. (NPI 1164975835) is an individual advanced heart failure and transplant cardiology provider in Lexington, Kentucky, licensed in Kentucky (59310) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1164975835

Entity TypeIndividualFemale

Primary Taxonomy207RA0001X

Provider Legal NameSONU SUSAN ABRAHAMCredential: M.D.

Location Address800 ROSE STLexington, KY 40536-3055

Mailing Address251 E Huron StChicago, IL 60611-3055 · (508) 333-7896

Phone(859) 323-0295

Fax(859) 323-1256

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 29, 2016

Last NPPES UpdateSeptember 3, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2024

✔ NPI 1164975835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Advanced Heart Failure and Transplant CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RA0001X

Licenses✔ Licensed in KY · 59310✔ Licensed in IL · 036.165080

Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

Also ListedInternal MedicineTaxonomy 207R00000X · License 267481 (MA)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 59310 (KY), 036.165080 (IL)

800 ROSE ST, Lexington, KY 40536

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Secondary Practice Location 1

Location 1251 E Huron StChicago, IL 60611-3055 · Phone (508) 333-7896

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, 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

Sonu Susan 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 ID1557640448

PECOS Enrollment IDI20240828005108

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

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 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number180067

Location800 Rose StreetLexington, KY 40536 · Fayette County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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 20

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

DR. JEREMY WAYNE THACKER M.D.

Radiology (Diagnostic Radiology)

800 ROSE ST, HX-302 UKMC
LEXINGTON, KY 40536

Fayette County (859) 257-4457

DR. KIRK PHILLIP HEITMAN M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

800 ROSE ST, MS117
LEXINGTON, KY 40536

Fayette County (859) 257-1446

HARISH RAM MD

Anesthesiology

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-5956

MS. YVONNE P RICE APRN NP-C

Nurse Practitioner (Family)

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 218-1779

VANESSA D. SMITH MD

Pathology (Anatomic Pathology)

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6183

JASMINE HOWARD APRN

Nurse Practitioner (Acute Care)

800 ROSE ST, MN604
LEXINGTON, KY 40536

Fayette County (859) 323-6047

MITCHELL ALEXANDER MIGUEL M.D.

Hospitalist

800 ROSE ST
LEXINGTON, KY 40536

Fayette County (859) 323-6047

LEAH RAY YEAGER APRN

Nurse Practitioner (Family)

800 ROSE ST, CC417
LEXINGTON, KY 40536

Fayette County (859) 257-1223

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 Sonu Abraham's NPI number?

The NPI number for Sonu Abraham is 1164975835. It was assigned to this individual provider in the NPPES registry on July 29, 2016.

Where is Sonu Abraham located?

Sonu Abraham practices at 800 Rose St, Lexington, KY 40536. The listed phone number is (859) 323-0295.

What is Sonu Abraham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology, with taxonomy code 207RA0001X.

Is Sonu Abraham enrolled in Medicare?

Yes. Sonu 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 Sonu Abraham accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Sonu 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 Sonu Abraham affiliated with any hospitals?

According to CMS data, Sonu Abraham is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Sonu Abraham was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.