ASHLEY ABRAHAM M.D.
NPI 1457615742
Obstetrics & Gynecology in Arlington Heights, IL

Active since July 02, 2012PECOS Enrolled
72.17/100
CMS Quality Rating
1051 W RAND RD STE 101, ARLINGTON HEIGHTS, IL 60004(847) 221-4900(847) 221-4996 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2021, Mar 5, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Ashley Abraham M.d. NPPES

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

ASHLEY ABRAHAM M.D. (NPI 1457615742) is an individual obstetrics & gynecology provider in Arlington Heights, Illinois, licensed in Illinois (036.139336) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and maintains a secondary practice location in Schaumburg.

NPPES Registry Identity

NPI1457615742
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameASHLEY ABRAHAMCredential: M.D.
Location Address1051 W RAND RD STE 101Arlington Heights, IL 60004-2315
Mailing Address1051 Perimeter Dr Ste 150Schaumburg, IL 60173-5075 · (847) 221-4300 · Fax (847) 221-4396
Fax(847) 221-4996
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 2, 2012
Last NPPES UpdateMarch 16, 20224 updates tracked since enumeration
NPPES CertifiedMarch 16, 2022
NPI 1457615742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in IL · 036.139336
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1051 W RAND RD STE 101, Arlington Heights, IL 60004

Other Names 1

Former Name (1)Ashley Kalathananiyil M.d.

Secondary Practice Location 1

Location 11051 Perimeter Dr Ste 150Schaumburg, IL 60173-5075 · Phone (847) 221-4300 · Fax (847) 221-4396

Other Identifiers 1

Other036139336IL · State License

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 (PECOS)

Ashley Abraham M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496041014
PECOS Enrollment IDI20160908000978
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 2

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.
25 services25 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60004 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

72.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.85
Promoting Interoperability95
Improvement Activities30
Cost36.05

Other Providers at the Same Location NPPES 10

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

Obstetrics & Gynecology
1051 W RAND RD STE 101
ARLINGTON HEIGHTS, IL 60004
Nurse Practitioner
1051 W RAND RD STE 101
ARLINGTON HEIGHTS, IL 60004
Obstetrics & Gynecology (Gynecology)
1051 W RAND RD STE 101
ARLINGTON HEIGHTS, IL 60004
Advanced Practice Midwife
1051 W RAND RD STE 101
ARLINGTON HEIGHTS, IL 60004
Obstetrics & Gynecology
1051 W RAND RD STE 101
ARLINGTON HEIGHTS, IL 60004
Obstetrics & Gynecology
1051 W RAND RD STE 101
ARLINGTON HEIGHTS, IL 60004
Midwife
1051 W RAND RD STE 101
ARLINGTON HEIGHTS, IL 60004
Obstetrics & Gynecology
1051 W RAND RD STE 101
ARLINGTON HEIGHTS, IL 60004

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 Ashley Abraham's NPI number?

The NPI number for Ashley Abraham is 1457615742. It was assigned to this individual provider in the NPPES registry on July 2, 2012. The provider is also known as Ashley Kalathananiyil M.D..

Where is Ashley Abraham located?

Ashley Abraham practices at 1051 W Rand Rd Ste 101, Arlington Heights, IL 60004. The listed phone number is (847) 221-4900.

What is Ashley Abraham's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ashley Abraham enrolled in Medicare?

Yes. Ashley Abraham is registered in the Medicare PECOS enrollment system.

What insurance does Ashley Abraham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Ashley 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 Ashley Abraham affiliated with any hospitals?

According to CMS data, Ashley Abraham is affiliated with Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Ashley Abraham was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.