LENI ABRAHAM MD
NPI 1346686912
Internal Medicine in St. Louis, MO

Active since May 22, 2013PECOS EnrolledAccepts Medicare Assignment
91.18/100
CMS Quality Rating
3635 VISTA AVENUE, DESLOGE TOWER, 13TH FLOOR, ST. LOUIS, MO 63110(314) 268-7992 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Leni Abraham Md NPPES

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

LENI ABRAHAM MD (NPI 1346686912) is an individual internal medicine provider in St. Louis, Missouri, licensed in Oklahoma (30096) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Jackson County Memorial Hospital Authority, and is a graduate of University Of Oklahoma College Of Medicine (2013).

NPPES Registry Identity

NPI1346686912
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLENI ABRAHAMCredential: MD
Location Address3635 VISTA AVENUE, DESLOGE TOWER, 13TH FLOORSt. Louis, MO 63110
Mailing Address3635 Vista Avenue, Desloge Tower, 13th FloorSt. Louis, MO 63110
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2013
Enumeration DateMay 22, 2013
Last NPPES UpdateJune 17, 2020
NPPES CertifiedJune 17, 2020
NPI 1346686912 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 OK · 30096
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 ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 2017013690 (MO)
3635 VISTA AVENUE, St. Louis, MO 63110

Accepted 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

Leni 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 ID5193948743
PECOS Enrollment IDI20160621002369
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 17

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,208 services822 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
309 services307 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.
302 services225 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
259 services243 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.
163 services137 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
85 services85 patients

Hospital Affiliations CMS Care Compare 4

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

Jackson County Memorial Hospital Authority

Acute Care Hospitals · Altus, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370022
Location1200 East Pecan StAltus, OK 73521 · Jackson County
Emergency services Birthing friendly

Comanche County Memorial Hospital

Acute Care Hospitals · Lawton, OK
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370056
Location3401 West Gore BlvdLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Southwestern Medical Center

Acute Care Hospitals · Lawton, OK
3/5 CMS rating
OwnershipProprietary
CMS Certification Number370097
Location5602 Southwest Lee BoulevardLawton, OK 73505 · Comanche County
Emergency services Birthing friendly

Lawton Indian Hospital

Acute Care Hospitals · Lawton, OK
OwnershipGovernment - Federal
CMS Certification Number370170
Location1515 Lawrie Tatum RoadLawton, OK 73507 · Comanche County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

91.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.27
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Emergency Medicine
3635 VISTA AVENUE, EMERGENCY MEDICINE ADMINISTRATION - 1ST FLOOR(FDT)
ST. LOUIS, MO 63110
Anesthesiologist Assistant
3635 VISTA AVENUE, FDT-3
ST. LOUIS, MO 63110

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 Leni Abraham's NPI number?

The NPI number for Leni Abraham is 1346686912. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Where is Leni Abraham located?

Leni Abraham practices at 3635 Vista Avenue Desloge Tower, 13th Floor, St. Louis, MO 63110. The listed phone number is (314) 268-7992.

What is Leni Abraham's specialty?

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

Is Leni Abraham enrolled in Medicare?

Yes. Leni 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 Leni Abraham accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Leni 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 Leni Abraham affiliated with any hospitals?

According to CMS data, Leni Abraham is affiliated with Jackson County Memorial Hospital Authority, Comanche County Memorial Hospital, Southwestern Medical Center and Lawton Indian Hospital.

When was this NPI record last updated?

The NPPES record for Leni Abraham was last updated on June 17, 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.