✓ Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician) (207RR0500X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

SUNIL V. ABRAHAM, M.D. (NPI #1801080890)

Internal Medicine, Rheumatology • ASHEVILLE, NC • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1801080890
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
207RR0500X (CMS 11)
Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
Box 32 Service Location & ZIP+4
4 VANDERBILT PARK DR STE 200, ASHEVILLE, NC, 28803-2476
✓ 9-Digit EDI 837 ZIP+4 (28803-2476)
Practice Phone & Referral Fax
Fax: (828) 253-4434
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1801080890 (SUNIL V. 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 #1801080890)

Medicare Beneficiaries
546
Total Billed Services
120,188
Distinct CPT/HCPCS Codes
91
Medicare Allowed Total
$1,684,028.16

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
20600 Aspiration and/or injection of fluid from small joint21
36415 Insertion of needle into vein for collection of blood sample535
73120 X-ray of hand, 2 views33
77085 Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment100
77089 Calculation of trabecular bone score (tbs) using imaging data with interpretation and report on fracture risk95
80053 Blood test, comprehensive group of blood chemicals28
80076 Liver function blood test panel497
81001 Manual urinalysis test with examination using microscope, automated36

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Alendronate Sodium
Alendronate Sodium
13448
Allopurinol
Allopurinol
4815
Amlodipine Besylate
Amlodipine Besylate
22<11
Cevimeline Hcl
Cevimeline Hcl
20<11
Cimzia (2 Pack)
Certolizumab Pegol
11<11
Colchicine
Colchicine
20<11
Cosentyx Sensoready (2 Pens)
Secukinumab
21<11
Cosentyx Sensoready Pen
Secukinumab
24<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1801080890 (NPI-1 Individual Practitioner)
Provider / Legal NameSUNIL V. ABRAHAM, M.D.
Plain-English SpecialtyBoard-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
NUCC Code: 207RR0500X (Internal Medicine, Rheumatology)
Certifying / Licensing BodyAmerican Board of Internal Medicine (ABIM)
Practice Location Address4 VANDERBILT PARK DR STE 200, ASHEVILLE, NC, 28803-2476
Practice Telephone / FaxTel: (828) 258-9533 | Fax: (828) 253-4434
Administrative Mailing Address4 VANDERBILT PARK DR STE 200, ASHEVILLE, NC, 28803-2476
Enumeration & Last SyncEnumerated: 2007-09-01 | CMS Record Updated: 2018-03-17

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4 VANDERBILT PARK DR STE 200, ASHEVILLE, NC, 28803-2476

🗺️ Open in Google Maps 🏥 More Providers in ASHEVILLE

Plain-English Taxonomy & CMS Crosswalk (207RR0500X)

What Does Taxonomy Code 207RR0500X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207RR0500X translates to:
"Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 11 (Physician/Internal Medicine) • CMS Code 66 (Physician/Rheumatology)
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 (SUNIL V. 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
207RR0500X — Internal Medicine, Rheumatology
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: NY | License: 255984 | Primary: Secondary
207RR0500X — Internal Medicine, Rheumatology
Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)
State: NC | License: 2017-01816 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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