✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207RI0200X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

CARL JOEL ABRAHAM, M.D. (NPI #1295774388)

Internal Medicine, Infectious Disease • JONESBORO, AR • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1295774388
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RI0200X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
2604 E MATTHEWS AVE, JONESBORO, AR, 72401-4420
✓ 9-Digit EDI 837 ZIP+4 (72401-4420)
Practice Phone & Referral Fax
Fax: (870) 932-5043
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1295774388 (CARL JOEL ABRAHAM, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
✓ Eligible

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1295774388)

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Biktarvy
Bictegrav/Emtricit/Tenofov Ala
51<11
Vemlidy
Tenofovir Alafenamide
14<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1295774388 (NPI-1 Individual Practitioner)
Provider / Legal NameCARL JOEL ABRAHAM, M.D.
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207RI0200X (Internal Medicine, Infectious Disease)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address2604 E MATTHEWS AVE, JONESBORO, AR, 72401-4420
Practice Telephone / FaxTel: (870) 932-5043 | Fax: (870) 932-5043
Administrative Mailing AddressPO BOX 5043, JONESBORO, AR, 72403-5043
Enumeration & Last SyncEnumerated: 2006-06-05 | CMS Record Updated: 2007-07-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2604 E MATTHEWS AVE, JONESBORO, AR, 72401-4420

🗺️ Open in Google Maps 🏥 More Providers in JONESBORO

Plain-English Taxonomy & CMS Crosswalk (207RI0200X)

What Does Taxonomy Code 207RI0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RI0200X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 44 (Physician/Infectious Disease)
Certifying / Accrediting Authority: American Board of Internal Medicine (ABIM)
Clinical Scope: Managing multiple adult chronic conditions (diabetes, high blood pressure, high cholesterol, thyroid disorders) or investigating unexplained adult symptoms.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CARL JOEL ABRAHAM, M.D.)

Typical CPT / Diagnostic Procedures:
  • Complex Multi-System Adult Diagnostic Workup (CPT 99204–99215)
  • Preoperative Medical Risk Assessment & Cardiac Clearance
  • Chronic Kidney, Hepatic & Metabolic Panel Interpretation
  • Adult Inpatient Hospitalist Management & Discharge Coordination
Common Therapeutic Classes:
  • Antihypertensives (ACE Inhibitors, ARBs, Calcium Channel Blockers, Thiazides)
  • Oral Antidiabetic Agents, Basal/Bolus Insulins & Lipid-Lowering Statins
  • Direct Oral Anticoagulants (Apixaban, Rivaroxaban) & Antiplatelets
  • Levothyroxine (Hypothyroidism) & Proton Pump Inhibitors (Pantoprazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
207RI0200X — Internal Medicine, Infectious Disease
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: AR | License: E3042 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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