Michele Alba, M.D.
Individual provider Active NPI Family Medicine Physician · Greeley, CO
NPI 1184006397 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1184006397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036147378 (IL)
- Practice address
- 1600 23Rd Ave
Greeley, CO 80634-6070 - Phone
- (970) 810-2424
- NPI assigned
- Jun 24, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200730000467 | CO | Practitioner - Family Practice | 1557626298 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036147378 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado State University | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R75303 | AZ | |
| Family Medicine Physician | 207Q00000X | 036147378 | IL | Yes |
Addresses
Primary practice location
1600 23Rd Ave
Greeley, CO 80634-6070
Mailing address
5359 W Fullerton Ave
Chicago, IL 60639-1450
Phone (773) 836-2785
Other practice location 1
2800 E Ajo Way
Tucson, AZ 85713-6204
Phone (520) 874-4891
Other practice location 2
14 Lake St
Oak Park, IL 60302
Phone (708) 406-3970
Other practice location 3
5359 W Fullerton Ave
Chicago, IL 60639-1450
Phone (773) 836-2785
Other names
- Michele Alba
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Greeley | Direct |
Other providers in Greeley, CO
- Georgia Leah Aker
- Alondra Alamos
- Diana Alaniz
- Malinda Alaniz
- Vanessa M Alarcon
- Albertsons LLC
- Ann Marie Albright
- Nicole Albrook
- Jose Aleman Jr.
- Arlene Alemangabriel
All providers in Greeley, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.