Anita Abraham, M.D.
NPI 1558380337 · Endocrinology, Diabetes & Metabolism Physician · Stockton, CA
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anita Abraham, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in Stockton, CA (NPI 1558380337).
Provider details
- NPI number
- 1558380337
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- C142479 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,007 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 434 | $129 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 229 | $182 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 168 | $34 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 50 | $222 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 40 | $166 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 51 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Semaglutidebrand: Ozempic | 227 | 39 |
| Metformin Hcl | 195 | 61 |
| Levothyroxine Sodium | 192 | 53 |
| Empagliflozinbrand: Jardiance | 180 | 38 |
| Tirzepatidebrand: Mounjaro | 112 | 20 |
| Alendronate Sodium | 112 | 37 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$455 across 14 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2019-08-09
Frequently asked questions
- What is Anita Abraham's NPI number?
- Anita Abraham's National Provider Identifier (NPI) is 1558380337, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anita Abraham's specialty?
- Anita Abraham is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Anita Abraham located?
- Anita Abraham's practice location on file with NPPES is 2545 W Hammer Ln, Stockton, CA 95209-2839.
- What is Anita Abraham's phone number?
- The practice phone number listed in the NPPES registry for Anita Abraham is (209) 943-2041.
- Does Anita Abraham accept Medicare?
- Anita Abraham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anita Abraham's NPI active?
- Yes — Anita Abraham's NPI (1558380337) is active in the NPPES registry as of the last update on 2019-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.