NPIMap

Individual provider Active NPI

Joseph G Abdallah, M.D.

  • Nephrology Physician
  • Westminster, CO
National Provider Identifier
1306843602
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DR.0050531 Issued in CO
Practice address
8410 Decatur St Ste 100
Westminster, CO 80031-3811
Phone
(303) 430-7000
Fax
(303) 430-1506
NPI assigned
Jun 30, 2005
Last updated
May 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X DR.0050531 CO Primary

Addresses

Primary practice location

8410 Decatur St Ste 100
Westminster, CO 80031-3811

Mailing address

8410 Decatur St Ste 100
Westminster, CO 80031-3811
Phone (303) 430-7000

Other practice location 1

200 Exempla Cir
Lafayette, CO 80026-3370
Phone (303) 338-4545

Other identifiers 3

IdentifierTypeStateIssuer
100644700AMedicaidKS
028698OtherCOKAISER COMMERCIAL NUMBER
27029743MedicaidCO

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120222000333 CO Practitioner - Internal MedicinePractitioner - Nephrology 9436051398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Nephrology and Metabolic Bone Disease, P.C.Group PAC ID 2264428622, 33 clinicians

Practice addresses (Care Compare)

5265 Vance St
Suite 200
Arvada, CO 80002-3714
Phone (303) 232-3366

8410 Decatur St
Suite 100
Westminster, CO 80031-3811
Phone (303) 430-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.99 of 100Reported as group
Quality
89.64
Promoting interoperability
98
Improvement activities
40
Cost
74.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0050531COMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Nephrology & Metabolic Bone Disease, P.C. Nephrology CurrentSince Nov 20, 2011 Accepting new patients
Western Nephrology & Metabolic Bone Disease, P.C. Nephrology PastSince Sep 20, 2020 Accepting new patients
Kansas Vascular Access Center LLC Past Accepting new patients
Tapestry Telehealth PLLC Past Accepting new patients

Locations

5265 Vance St
Ste 200
Arvada, CO 80002
Phone (303) 232-3366

8410 Decatur St
Ste 100
Westminster, CO 80031
Phone (303) 430-7000

4891 Independence St
Ste 120
Wheat Ridge, CO 80033
Phone (303) 232-3366

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACHACA
  • Direct secure messaging: joseph.abdallah@wneph.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1306843602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8410 DECATUR ST STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313811",
            "telephone_number": "303-430-7000",
            "fax_number": "303-430-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8410 DECATUR ST STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313811",
            "telephone_number": "303-430-7000",
            "fax_number": "303-430-1506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Exempla Cir",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800263370",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDALLAH",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "DR.0050531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100644700A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "028698",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27029743",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "CAREQUALITY",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "200 Exempla Cir",
            "city": "Lafayette",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800263370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.