Jeska Albuisson, M.D.
Individual provider Active NPI Internal Medicine Physician · Boulder, CO
NPI 1184899320 · NPPES record last updated Nov 9, 2017
Key facts
- NPI
- 1184899320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- DR.0051300 (CO)
- Practice address
- 4747 Arapahoe Ave
Boulder, CO 80303-1133 - Phone
- (303) 415-7610
- Fax
- (303) 415-7618
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 34
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Colorado School of Medicine, Denver, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Boulder Community Health
Practice addresses (Care Compare)
4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-7610
Hospital & facility affiliations
- Boulder Community Health
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 |
|---|---|---|---|---|
| I20120724000781 | CO | Practitioner - Internal Medicine | 5496911158 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0051300 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boulder Community Health | Current |
Accepting new patients | |
| Boulder Community Health | Current | Accepting new patients | |
| Boulder Community Health | Current |
Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients |
Locations
4747 Arapahoe Ave
Boulder, CO 80303
Phone (303) 415-7000
5450 Western Ave
Ste B
Boulder, CO 80301
1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DR.0051300 | CO | Yes |
Addresses
Primary practice location
4747 Arapahoe Ave
Boulder, CO 80303-1133
Mailing address
5450 Western Ave
Suite B
Boulder, CO 80301-2709
Phone (303) 415-7610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83339540 | Medicaid | CO |
Other names
- Jeska Annis
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All providers in Boulder, CO · Internal 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 Nov 9, 2017. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.