Individual provider

Donald Abrahm, M.D.

Gastroenterology Physician Medicare enrolled

Donald Abrahm, M.D. is a Gastroenterology Physician in Newport Beach, CA, registered under NPI 1215022405.

Getting there

The practice address on file is 1525 SUPERIOR AVENUE SUITE 104, Newport Beach, CA 92663. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1525 SUPERIOR AVENUE SUITE 104, Newport Beach, CA 92663 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
G51196 CA Gastroenterology Physician primary

This provider holds licence G51196 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Gastroenterology
PAC ID
6204904493
Enrollment ID
I20081001000013

Medicare enrolment is recorded as approved under the provider type Practitioner - Gastroenterology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Gastroenterology covers

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. NUCC Health Care Provider Taxonomy, code 207RG0100X
Allopathic & Osteopathic Physicians Internal Medicine Gastroenterology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1215022405 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 4, 2006
Last updatedJul 8, 2007
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1525 SUPERIOR AVENUE
SUITE 104
Newport Beach, CA 92663
(949) 631-2670
Fax (949) 631-7137
Other identifiers G51196 · Other (CA)
This record was last updated on Jul 8, 2007, roughly 19 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1215022405 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 1 5 0 2 2 4 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 2 5 0 2 4 4 0

Sum = 45 · next multiple of 10 = 50 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1215022405?
NPI 1215022405 is the National Provider Identifier assigned to Donald Abrahm, M.D. in Newport Beach, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Gastroenterology cover?
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes…
How do I contact Donald Abrahm, M.D.?
The phone number on file with NPPES is (949) 631-2670, last updated Jul 8, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Donald Abrahm, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1215022405 a valid number?
Yes. 1215022405 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.