JOSHUA KOVOOR ABRAHAM
NPI 1639890031
Dentist - General Practice in Santa Rosa, CA

Q: What is Joshua Abraham's NPI number?

The NPI number for Joshua Abraham is 1639890031. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Q: What is Joshua Abraham's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Abraham was last updated on September 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 06, 2022PECOS Enrolled

1240 FARMERS LN, SANTA ROSA, CA 95405(707) 536-0225 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Joshua Kovoor Abraham NPPES

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

JOSHUA KOVOOR ABRAHAM (NPI 1639890031) is an individual general practice provider in Santa Rosa, California, licensed in California (107921) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639890031

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJOSHUA KOVOOR ABRAHAM

Location Address1240 FARMERS LNSanta Rosa, CA 95405-6707

Mailing Address9155 Los Lagos Cir SGranite Bay, CA 95746-5850 · (916) 477-9529

Phone(707) 536-0225

Sole ProprietorYes

Enumeration DateSeptember 6, 2022

NPPES CertifiedSeptember 6, 2022

✔ NPI 1639890031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 107921

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1240 FARMERS LN, Santa Rosa, CA 95405

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Joshua Kovoor Abraham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95405 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

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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.

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Other Providers at the Same Location NPPES 12

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

BAHAREH RAHMATTAN

Dentist