SUNNY ABRAHAM JOSEPH M.D.
NPI 1356385413
Internal Medicine - Cardiovascular Disease in Louisville, KY

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
58.71/100
CMS Quality Rating
1900 BLUEGRASS AVE, SUITE 103, LOUISVILLE, KY 40215(502) 367-4500(502) 368-8139 Get Directions Write a Review

NPPES record last updated: March 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sunny Abraham Joseph M.d. NPPES

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

SUNNY ABRAHAM JOSEPH M.D. (NPI 1356385413) is an individual cardiovascular disease provider in Louisville, Kentucky, licensed in Kentucky (22078) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1356385413
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSUNNY ABRAHAM JOSEPHCredential: M.D.
Location Address1900 BLUEGRASS AVE, SUITE 103Louisville, KY 40215-1144
Mailing Address100 E Liberty St Ste 800Louisville, KY 40202-1428 · (502) 367-4500 · Fax (502) 368-8139
Fax(502) 368-8139
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJune 16, 2006
Last NPPES UpdateMarch 8, 2018
NPI 1356385413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in KY · 22078
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1900 BLUEGRASS AVE, Louisville, KY 40215

Other Identifiers 1

Medicaid64220783KY

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

Sunny Abraham Joseph 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 ID1355384413
PECOS Enrollment IDI20050614000063
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 35

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.
1,341 services867 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.
668 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.
537 services435 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.
311 services276 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
266 services136 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.
194 services193 patients

Hospital Affiliations CMS Care Compare 4

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180087
Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County
Emergency services

University Of Louisville Hospital

Acute Care Hospitals · Louisville, KY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180141
Location530 South Jackson StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Jane Todd Crawford Hospital

Critical Access Hospitals · Greensburg, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181325
Location290 Industrial Park RoadGreensburg, KY 42743 · Green County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40215 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
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
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.

58.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.44
Improvement Activities40

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.

Nurse Practitioner
1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215
Nurse Practitioner
1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215
Nurse Practitioner (Family)
1900 BLUEGRASS AVE
LOUISVILLE, KY 40215
Internal Medicine (Interventional Cardiology)
1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215
Nurse Practitioner
1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215
Nurse Practitioner
1900 BLUEGRASS AVE, SUITE 103
LOUISVILLE, KY 40215
Nurse Practitioner (Family)
1900 BLUEGRASS AVE
LOUISVILLE, KY 40215
Internal Medicine
1900 BLUEGRASS AVE, SUITE 108
LOUISVILLE, KY 40215

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 Sunny Joseph's NPI number?

The NPI number for Sunny Joseph is 1356385413. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Sunny Joseph located?

Sunny Joseph practices at 1900 Bluegrass Ave Suite 103, Louisville, KY 40215. The listed phone number is (502) 367-4500.

What is Sunny Joseph's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sunny Joseph enrolled in Medicare?

Yes. Sunny Joseph 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 Sunny Joseph accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 1 other insurer list Sunny Joseph 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 Sunny Joseph affiliated with any hospitals?

According to CMS data, Sunny Joseph is affiliated with Jewish Hospital & St Mary's Healthcare, Taylor Regional Hospital, University Of Louisville Hospital and Jane Todd Crawford Hospital.

When was this NPI record last updated?

The NPPES record for Sunny Joseph was last updated on March 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.