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DR. JACOB T ABRAHAM MD
NPI 1689732497
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wakefield, RI

Active since December 05, 2006PECOS EnrolledAccepts Medicare Assignment
24 SALT POND RD, SUITE D-4, WAKEFIELD, RI 02879(401) 789-3694(401) 789-3748 Get Directions Write a Review

NPPES record last updated: December 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jacob T Abraham Md NPPES

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

DR. JACOB T ABRAHAM MD (NPI 1689732497) is an individual child & adolescent psychiatry provider in Wakefield, Rhode Island, licensed in Rhode Island (MD09004) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Meharry Medical College School Of Medicine (1990).

NPPES Registry Identity

NPI1689732497
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameDR. JACOB T ABRAHAMCredential: MD
Location Address24 SALT POND RD, SUITE D-4Wakefield, RI 02879-4314
Mailing Address25 Blue Heron RoadSouth Kingstown, RI 02879 · (401) 783-1637
Phone(401) 789-3694
Fax(401) 789-3748
Sole ProprietorYes
Medical School CMSMeharry Medical College School Of MedicineGraduated 1990
Enumeration DateDecember 5, 2006
Last NPPES UpdateDecember 18, 2013
✔ NPI 1689732497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in RI · MD09004
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
24 SALT POND RD, Wakefield, RI 02879
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type Unspecified007008459RI

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

Dr. Jacob T 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 ID6406994870
PECOS Enrollment IDI20091105000472
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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Abraham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Bay Community Action Program
10 mi
Dental
19 BROADWAY
Newport, RI 02840
  • Reassigned Medicare billing, Rhode Island enrollment
  • 36 clinicians in this Medicare group
NPI 1861439705 (401) 848-6697

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DIANE P HALL RN, PCNS
Registered Nurse (Psychiatric/Mental Health, Adult)
24 SALT POND RD, H-3
WAKEFIELD, RI 02879
Washington County (401) 789-4480
MRS. NANCY LITTLEJOHN HIMMEL LMFT
Marriage & Family Therapist
24 SALT POND RD
WAKEFIELD, RI 02879
Washington County (401) 932-3345
CAROL BONGIOVANNI DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
24 SALT POND RD
WAKEFIELD, RI 02879
Washington County (401) 783-9890
NANCY LITTLEJOHN HIMMEL LLC
Marriage & Family Therapist
24 SALT POND RD
WAKEFIELD, RI 02879
Washington County (401) 932-3345
SOUTH COUNTY BEHAVIORAL MEDICINE INC
Psychologist (Clinical)
24 SALT POND RD, UNIT D3
WAKEFIELD, RI 02879
Washington County (401) 789-2306
SEAN T. PATRICK DDS
Dentist (General Practice)
24 SALT POND RD, STE F1
WAKEFIELD, RI 02879
Washington County (401) 788-8820
DEBORAH ANNE SOARES MS, LICSW
Social Worker (Clinical)
24 SALT POND RD, SUITE C-6
WAKEFIELD, RI 02879
Washington County (401) 284-2859
VAZGEN MARTIROSIAN MD
Internal Medicine
24 SALT POND RD
WAKEFIELD, RI 02879
Washington County (401) 642-4051

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 Jacob Abraham's NPI number?

The NPI number for Jacob Abraham is 1689732497. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Jacob Abraham located?

Jacob Abraham practices at 24 Salt Pond Rd Suite D-4, Wakefield, RI 02879. The listed phone number is (401) 789-3694.

What is Jacob Abraham's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jacob Abraham enrolled in Medicare?

Yes. Jacob 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.

Which organization bills Medicare for Jacob Abraham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Abraham reassigns Medicare benefits to East Bay Community Action Program (Newport, RI). 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 Jacob Abraham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacob Abraham was last updated on December 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.