Active NPI
Abdullah A Al-Shahrani
- Gastroenterology Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 142518
- Practice address
- 12631 E 17TH Ave
Aurora, CO 80045-2527 - Phone
- (303) 724-1097
- NPI assigned
- May 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 142518 | MT | Primary |
Addresses
Primary practice location
12631 E 17TH Ave
Aurora, CO 80045-2527
Mailing address
12631 E 17TH Ave # Msb158
Aurora, CO 80045-2527
Phone (303) 724-1097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1144 N Broadway
Suite C
Billings, MT 59101-0115
Phone (406) 238-6380
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142518 | MT | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Medical Group - Billings LLC | Current | Accepting new patients | |
| SCL Health Medical Group - Billings, LLC | Current | Accepting new patients | |
| SCL Health Medical Group - Billings, LLC | Current | Accepting new patients |
Locations
500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021
1144 N Broadway
Ste C
Billings, MT 59101
Phone (406) 238-6380
16 N Miles Ave
Hardin, MT 59034
Phone (406) 665-2205
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba St Vincent Healthcare
- Clinic/Center
- Billings, MT
- NPI 1508289703
-
dba Billings - DPP (Diabetes Prevention Program)
- Endocrinology, Diabetes & Metabolism Physician
- Billings, MT
- NPI 1003701558
-
dba Intermountain Health West End Clinic - Primary Care
- Family Medicine Physician
- Billings, MT
- NPI 1891494258
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health St Vincent Regional Hospital
- General Acute Care Hospital
- Billings, MT
- NPI 1083655997
-
- General Acute Care Hospital
- Billings, MT
- NPI 1396916276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1033598297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12631 E 17TH AVE # MSB158",
"city": "AURORA",
"state": "CO",
"postal_code": "800452527",
"telephone_number": "303-724-1097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12631 E 17TH AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800452527",
"telephone_number": "303-724-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-SHAHRANI",
"first_name": "ABDULLAH",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-21",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MT",
"license": "142518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.