Individual provider Active NPI

Allan F Avbel, MD

  • Diagnostic Radiology Physician
  • Walla Walla, WA
National Provider Identifier
1093772808
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
16780 Issued in WA
Practice address
306 Craig St
Walla Walla, WA 99362-3302
Phone
(509) 522-1951
Fax
(509) 522-1951
NPI assigned
Apr 26, 2006
Last updated
Jun 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 16780 WA Primary

Addresses

Primary practice location

306 Craig St
Walla Walla, WA 99362-3302

Mailing address

306 Craig St
Walla Walla, WA 99362-3302
Phone (509) 522-1951

Other identifiers 1

IdentifierTypeStateIssuer
102585MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16780WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas V Maroldo, MD Past Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1093772808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 CRAIG ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623302",
            "telephone_number": "509-522-1951",
            "fax_number": "509-522-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 CRAIG ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623302",
            "telephone_number": "509-522-1951",
            "fax_number": "509-522-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVBEL",
        "first_name": "ALLAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "16780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102585",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walla Walla, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.