Individual provider Active NPI

Samual Ayele Alemayehu

  • Non-emergency Medical Transport (VAN)
  • Aurora, CO
National Provider Identifier
1114791753
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
9000213486 Issued in CO
Practice address
27323 E Euclid Dr Aurora Co 80016
27323 E Euclid Dr
Aurora, CO 80016
Phone
(719) 620-6202
NPI assigned
Nov 14, 2023
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 9000213486 CO Primary

Addresses

Primary practice location

27323 E Euclid Dr Aurora Co 80016
27323 E Euclid Dr
Aurora, CO 80016

Mailing address

27323 E Euclid Dr Aurora Co 80016
27323 E Euclid Dr
Aurora, CO 80016
Phone (719) 620-6202

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9000213486COMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Achu LLC Non-Emergency Medical Transport (Van) CurrentSince Nov 19, 2023 Accepting new patients

Organizations & group practices 1

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1114791753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27323 E EUCLID DR AURORA CO 80016",
            "address_2": "27323 E EUCLID DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80016",
            "telephone_number": "719-620-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27323 E EUCLID DR AURORA CO 80016",
            "address_2": "27323 E EUCLID DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80016",
            "telephone_number": "719-620-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEMAYEHU",
        "first_name": "SAMUAL",
        "middle_name": "AYELE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "9000213486",
            "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 Nov 14, 2023; 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.