MRS. SIBY ABRAHAM
NPI 1902270846
Nurse Practitioner - Adult Health in Suwanee, GA

Active since November 16, 2015PECOS EnrolledAccepts Medicare Assignment
68.55/100
CMS Quality Rating
680 GRAND RESERVE DR, SUWANEE, GA 30024(201) 638-7001 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Siby Abraham NPPES

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

MRS. SIBY ABRAHAM (NPI 1902270846) is an individual adult health provider in Suwanee, Georgia, licensed in Georgia (A0315009) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1902270846
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. SIBY ABRAHAM
Location Address680 GRAND RESERVE DRSuwanee, GA 30024-1613
Mailing Address680 Grand Reserve DrSuwanee, GA 30024-1613 · (201) 638-7001
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateNovember 16, 2015
NPI 1902270846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in GA · A0315009
680 GRAND RESERVE DR, Suwanee, GA 30024

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 and accepts Medicare assignment

Mrs. Siby Abraham 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 ID7719283209
PECOS Enrollment IDI20160309001535
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 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.
321 services265 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
33 services25 patients

Hospital Affiliations CMS Care Compare

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30024 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

68.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.15
Promoting Interoperability76
Improvement Activities40
Cost52.03

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 Siby Abraham's NPI number?

The NPI number for Siby Abraham is 1902270846. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Siby Abraham located?

Siby Abraham practices at 680 Grand Reserve Dr, Suwanee, GA 30024. The listed phone number is (201) 638-7001.

What is Siby Abraham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Siby Abraham enrolled in Medicare?

Yes. Siby 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 Siby Abraham accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Siby 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 Siby Abraham affiliated with any hospitals?

According to CMS data, Siby Abraham is affiliated with Northside Hospital Forsyth.

When was this NPI record last updated?

The NPPES record for Siby Abraham was last updated on November 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.