ABIJHA BIJU BOBAN DO
NPI 1629728027
Internal Medicine in Gainesville, GA
About Abijha Biju Boban Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABIJHA BIJU BOBAN DO (NPI 1629728027) is an individual internal medicine provider in Gainesville, Georgia, licensed in Georgia (104182) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and is a graduate of Philadelphia Col Of Osteo Med, Sewanee (2022).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Abijha Biju Boban Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Abijha Boban reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Monroe, GA 30655
- Reassigned Medicare billing, Georgia enrollment
- 777 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Atrium Health Floyd Medical Center
Acute Care Hospitals · Rome, GARedmond Regional Medical Center
Acute Care Hospitals · Rome, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
GAINESVILLE, GA 30501
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 Abijha Boban's NPI number?
The NPI number for Abijha Boban is 1629728027. It was assigned to this individual provider in the NPPES registry on March 28, 2022. The provider is also known as Abijha Thekkakara Biju.
Where is Abijha Boban located?
Abijha Boban practices at 743 Spring St NE Ste 710, Gainesville, GA 30501. The listed phone number is (770) 219-8730.
What is Abijha Boban's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Abijha Boban enrolled in Medicare?
Yes. Abijha Boban 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.
Which organization bills Medicare for Abijha Boban's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abijha Boban reassigns Medicare benefits to Hospital Physician Services - Southeast Professional Corporation (Monroe, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abijha Boban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Abijha Boban affiliated with any hospitals?
According to CMS data, Abijha Boban is affiliated with Atrium Health Floyd Medical Center and Redmond Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Abijha Boban was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Abijha Biju Boban, DO · NPI 1629728027
Internal Medicine physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since March 28, 2022.
## Identity
- **NPI:** 1629728027 (Entity type: Individual)
- **Enumerated:** March 28, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 104182 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 743 SPRING ST NE STE 710, Gainesville, GA 30501-3715
- **Phone:** (770) 219-8730
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia Col Of Osteo Med, Sewanee, class of 2022
## Record status
- **NPPES last updated:** July 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1629728027) · Data from the CMS NPPES public registry.