DR. SUNIL V. ABRAHAM M.D.
NPI 1801080890
Internal Medicine - Rheumatology in Asheville, NC

Q: What is Sunil Abraham's NPI number?

The NPI number for Sunil Abraham is 1801080890. It was assigned to this individual provider in the NPPES registry on September 1, 2007.

Q: What is Sunil Abraham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Q: When was this NPI record last updated?

The NPPES record for Sunil Abraham was last updated on March 17, 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.

Active since September 01, 2007PECOS EnrolledAccepts Medicare Assignment

93.51/100

CMS Quality Rating

4 VANDERBILT PARK DR STE 200, ASHEVILLE, NC 28803(828) 258-9533(828) 253-4434 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Dec 30, 2016 (2 updates tracked since 2016).

On this page

About Dr. Sunil V. Abraham M.d. NPPES

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

DR. SUNIL V. ABRAHAM M.D. (NPI 1801080890) is an individual rheumatology provider in Asheville, North Carolina, licensed in North Carolina (2017-01816) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1801080890

Entity TypeIndividualMale

Primary Taxonomy207RR0500X

Provider Legal NameDR. SUNIL V. ABRAHAMCredential: M.D.

Location Address4 VANDERBILT PARK DR STE 200Asheville, NC 28803-2476

Mailing Address4 Vanderbilt Park Dr Ste 200Asheville, NC 28803-2476 · (828) 258-9533 · Fax (828) 253-4434

Phone(828) 258-9533

Fax(828) 253-4434

Sole ProprietorNo

Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2005

Enumeration DateSeptember 1, 2007

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1801080890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Licenses✔ Licensed in NC · 2017-01816✔ Licensed in NY · 255984

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

4 VANDERBILT PARK DR STE 200, Asheville, NC 28803

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Secondary Practice Location 1

Location 14 Tower Pl, 8th FloorAlbany, NY 12203-3715 · Phone (518) 489-4471 · Fax (518) 489-4506

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Dr. Sunil V. Abraham 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 ID1850424995

PECOS Enrollment IDI20171019003009

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 53

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.

Injection, golimumab, 1 mg, for intravenous use J1602

Golimumab is a medication given through an IV (a small tube in your vein). It helps to reduce inflammation and pain by blocking a protein in your body that causes inflammation. It's often used to treat conditions like rheumatoid arthritis, psoriatic arthritis, and ankylosing spondylitis.

37,900 services63 patients

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717

Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.

21,600 services16 patients

Injection, romosozumab-aqqg, 1 mg J3111

Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.

16,380 services25 patients

Injection, tocilizumab, 1 mg J3262

Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.

15,960 services18 patients

Injection, denosumab, 1 mg J0897

Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.

9,420 services110 patients

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129

Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.

7,625 services36 patients

Blood creatinine level 82565

A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.

649 services358 patients

Measurement c-reactive protein for detection of infection or inflammation 86140

C-reactive protein (CRP) test is a blood test that checks for signs of inflammation or infection in the body. High levels of CRP often suggest that there's inflammation or a bacterial infection. This test helps in monitoring and managing conditions like arthritis and heart disease.

546 services269 patients

Red blood cell sedimentation rate, to detect inflammation, automated 85652

The Red Blood Cell Sedimentation Rate is a test that helps detect inflammation in the body. It's automated, meaning a machine does the work. This test measures how fast red blood cells settle at the bottom of a tube in an hour. A faster rate may indicate inflammation.

545 services269 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

535 services305 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

516 services252 patients

Liver function blood test panel 80076

A liver function blood test panel helps check the health of your liver. It measures various proteins, liver enzymes, and bilirubin in your blood. If these levels are too high or too low, it could signal a liver problem. It's a simple, non-invasive test that involves drawing blood.

497 services245 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

425 services145 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.

326 services197 patients

Calcium level, total 82310

A total calcium level test measures the amount of calcium in your blood. Calcium is essential for body functions like bone formation, nerve signal transmission, and muscle contraction. Abnormal levels may indicate conditions like bone disease or kidney disorders.

280 services202 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.

247 services196 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

231 services86 patients

Vitamin d-3 level 82306

A Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.

214 services200 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

177 services73 patients

Measurement of antibody for assessment of autoimmune disorder, any method 86235

This procedure measures the level of specific antibodies in your body to assess if you have an autoimmune disorder. Antibodies are proteins your immune system produces. In autoimmune disorders, these antibodies mistakenly attack your own cells. This test helps identify such conditions.

174 services29 patients

Tuberculosis test, enumeration of t-cells 86481

A tuberculosis test checks if you've been exposed to TB, a lung disease. It's usually a skin test where a small amount of fluid is injected under your skin. Enumeration of T-cells is a blood test that counts your T-cells, crucial for immune response.

111 services109 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

101 services25 patients

Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment 77085

A DXA bone density measurement is a non-invasive scan that helps assess the strength of your bones, specifically in the hip, pelvis, and spine areas. It can detect early signs of osteoporosis and evaluate fracture risk. This test uses low-dose X-rays for accurate results.

100 services100 patients

Injection, zoledronic acid, 1 mg J3489

Zoledronic acid is a medication given via injection to strengthen bones. It's often used in patients with osteoporosis or certain types of cancer. The injection helps reduce the risk of fractures and other bone complications.

100 services20 patients

Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk 77089

Trabecular Bone Score (TBS) is a technique that uses imaging data to evaluate bone texture. It provides insight into bone strength, helping predict fracture risk. This information is then compiled into a report to aid in your bone health management.

95 services95 patients

Gammaglobulin (immune system protein) measurement 82784

Gammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.

93 services27 patients

Measurement of complement (immune system proteins), antigen, 86160

The measurement of complement (immune system proteins) and antigen is a blood test. It helps to assess how your immune system is functioning. Complement proteins play a role in your body's immune response, and antigens trigger this response. This test helps in diagnosing and monitoring certain diseases.

70 services28 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

56 services56 patients

Rheumatoid factor analysis 86430

Rheumatoid factor analysis is a blood test utilized to help diagnose rheumatoid arthritis, an autoimmune disorder causing joint inflammation. It detects the presence of rheumatoid factor, an antibody often found in those with the condition.

51 services51 patients

Measurement of antibody for rheumatoid arthritis assessment 86200

This procedure measures the level of certain antibodies in your blood. These antibodies can be higher in people with rheumatoid arthritis, a condition causing joint inflammation. The test helps in diagnosing or monitoring the disease.

50 services50 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

45 services33 patients

Screening test for antineutrophil cytoplasmic antibody 86036

A screening test for antineutrophil cytoplasmic antibody (ANCA) is a blood test that helps detect certain autoimmune disorders. These disorders cause your immune system to attack your own body tissues. The test identifies antibodies that may indicate these conditions.

41 services13 patients

Hepatitis b core antibody measurement 86704

Hepatitis B core antibody measurement is a test conducted to determine if you have been infected with the Hepatitis B virus in the past. It involves taking a blood sample and analyzing it in a lab. This test aids in diagnosing and managing Hepatitis B infections.

37 services37 patients

Hepatitis c antibody measurement 86803

Hepatitis C antibody measurement is a blood test to check if you have been exposed to the Hepatitis C virus. This virus affects your liver. If the test is positive, it means you have had the virus at some point. Additional tests are needed to determine if the virus is currently active.

37 services37 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

36 services25 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

36 services25 patients

Measurement of dna antibody, native or double stranded 86225

The measurement of DNA antibody, native or double stranded, is a blood test that helps detect autoimmune disorders, such as lupus. It identifies if your body is producing antibodies against its own DNA, which can indicate an overactive immune response.

36 services34 patients

X-ray of hand, 2 views 73120

An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.

33 services24 patients

Detection test by immunoassay technique for hepatitis b surface antigen neutralization 87341

This test identifies if you've been exposed to the Hepatitis B virus. It uses a technique called immunoassay, which detects the presence of a specific protein in your blood. This protein, the Hepatitis B surface antigen, indicates an active infection.

29 services29 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

28 services21 patients

Screening test for autoimmune disorder 86038

A screening test for autoimmune disorders is a medical check-up that helps identify if your body's immune system is attacking its own cells. It involves a simple blood draw and analyzes various markers to detect potential issues. This test aids in early detection and effective treatment.

27 services27 patients

Creatine kinase (cardiac enzyme) level, total 82550

The total Creatine Kinase (CK) level test is a blood test that helps assess the health of your heart. It measures an enzyme called CK that's released into the bloodstream when heart or other muscle tissue is damaged. High levels may indicate a heart attack or muscle disorder.

26 services16 patients

Ferritin (blood protein) level 82728

A Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.

25 services21 patients

Iron level 83540

An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.

25 services22 patients

Iron binding capacity 83550

Iron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.

25 services22 patients

Infusion, normal saline solution, 250 cc J7050

An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.

25 services15 patients

Folic acid level, serum 82746

A Folic Acid Level, Serum test measures the amount of folic acid, a type of B vitamin, in your blood. This vitamin is important for cell growth and development. It's crucial for your body to function well. If your levels are low, it may indicate a deficiency, which can lead to health issues.

24 services22 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

24 services24 patients

Administration of chemotherapy into vein, each additional hour 96415

Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.

24 services14 patients

Cyanocobalamin (vitamin b-12) level 82607

A Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.

23 services21 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

21 services15 patients

Uric acid level, blood 84550

A blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.

18 services15 patients

Measurement of antibody for assessment of autoimmune disorder, titer 86039

This test measures the level of specific antibodies in your blood, which can help in the diagnosis of autoimmune disorders. A titer refers to the concentration of antibodies. High titers can indicate an active autoimmune disease.

11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Harris Regional Hospital

Acute Care Hospitals · Sylva, NC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number340016

Location68 Hospital RdSylva, NC 28779 · Jackson County

Emergency services Birthing friendly

Margaret R Pardee Memorial Hospital

Acute Care Hospitals · Hendersonville, NC

5/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340017

Location800 N Justice StHendersonville, NC 28791 · Henderson County

Emergency services Birthing friendly

Blue Ridge Regional Hospital

Critical Access Hospitals · Spruce Pine, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341329

Location125 Hospital DriveSpruce Pine, NC 28777 · Mitchell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28803 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

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.

93.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.23

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

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

ALISON RITTER PA

Internal Medicine (Rheumatology)

4 VANDERBILT PARK DR STE 200
ASHEVILLE, NC 28803

Buncombe County (828) 258-9533

HALEY AMY-RENEE BALLARD

Physician Assistant

4 VANDERBILT PARK DR STE 200
ASHEVILLE, NC 28803

Buncombe County (828) 258-9533

DR. ANA M ARANGO M.D.

Internal Medicine (Rheumatology)

4 VANDERBILT PARK DR STE 200
ASHEVILLE, NC 28803

Buncombe County (828) 258-9533

ADRIAN VAZQUEZ M.D.

Internal Medicine (Rheumatology)

4 VANDERBILT PARK DR STE 200
ASHEVILLE, NC 28803

Buncombe County (828) 258-9533

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 Sunil Abraham's NPI number?

The NPI number for Sunil Abraham is 1801080890. It was assigned to this individual provider in the NPPES registry on September 1, 2007.

Where is Sunil Abraham located?

Sunil Abraham practices at 4 Vanderbilt Park Dr Ste 200, Asheville, NC 28803. The listed phone number is (828) 258-9533.

What is Sunil Abraham's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Sunil Abraham enrolled in Medicare?

Yes. Sunil 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.

What insurance does Sunil Abraham accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Sunil 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 Sunil Abraham affiliated with any hospitals?

According to CMS data, Sunil Abraham is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, Harris Regional Hospital, Margaret R Pardee Memorial Hospital and Blue Ridge Regional Hospital.

When was this NPI record last updated?

The NPPES record for Sunil Abraham was last updated on March 17, 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.