Individual provider Active NPI

Ghebrekidan Kibrom Abraha

  • Secured Medical Transport (VAN)
  • Aurora, CO
National Provider Identifier
1285454561
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
License
20248082430 Issued in CO
Practice address
9923 E Jewell Ave Apt 202
Aurora, CO 80247-6221
Phone
(720) 229-9289
NPI assigned
Oct 12, 2024
Last updated
Oct 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X 20248082430 CO Primary

Addresses

Primary practice location

9923 E Jewell Ave Apt 202
Aurora, CO 80247-6221

Mailing address

9923 E Jewell Ave Apt 202
Aurora, CO 80247-6221
Phone (720) 229-9289

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
20248082430COMDSecured Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Mighty Ride LLC CurrentSince Oct 13, 2024 Accepting new patients
Onelove LLC Secured Medical Transport (Van) CurrentSince Dec 15, 2024 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": "1728691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1285454561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9923 E JEWELL AVE APT 202",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "802476221",
            "telephone_number": "720-229-9289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9923 E JEWELL AVE APT 202",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "802476221",
            "telephone_number": "720-229-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHA",
        "first_name": "GHEBREKIDAN",
        "middle_name": "KIBROM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-12",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "CO",
            "license": "20248082430",
            "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 Oct 12, 2024; 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.