NPIMap

Individual provider Active NPI

Duried Mawaheb Kassab, D.O.

  • Family Medicine Physician
  • Aurora, CO
National Provider Identifier
1386818342
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0049036 Issued in CO
Practice address
12250 E Iliff Ave
#300
Aurora, CO 80014-6318
Phone
(720) 524-1550
Fax
(720) 524-1551
NPI assigned
Apr 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 49036 CO
Family Medicine Physician 207Q00000X DR.0049036 CO Primary

Addresses

Primary practice location

12250 E Iliff Ave
#300
Aurora, CO 80014-6318

Mailing address

12250 E Iliff Ave
#300
Aurora, CO 80014-6318
Phone (720) 524-1550

Other identifiers 1

IdentifierTypeStateIssuer
14824779MedicaidCO

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
I20110922000751 CO Practitioner - Family Practice 9436320405 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Post-Acute Medical Services 1 PCGroup PAC ID 1153698634, 9 clinicians
Inpatient Consultants of Colorado PCGroup PAC ID 6204748452, 6 clinicians
CS Pacs 3 Northwest LLCGroup PAC ID 8729526496, 26 clinicians

Practice addresses (Care Compare)

150 Spring St
Morrison, CO 80465-2532
Phone (303) 697-8181

2525 S Downing St
Denver, CO 80210-5817
Phone (303) 778-1955

501 E Hamden Ave
Englewood, CO 80113-2702
Phone (303) 788-5000

Hospital & facility affiliations

  • Elevation Hospice of Colorado Hospice, Arvada, CO, CCN 061592
  • Bristol Hospice - Denver Hospice, Greenwood Village, CO, CCN 061576
  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034
  • HCA Healthone Mountain Ridge Hospital, Thornton, CO, CCN 060065
  • University of Colorado Hospital Authority Hospital, Aurora, CO, CCN 060024
  • Orchard Park Health Care Center Nursing home, Littleton, CO, CCN 065259

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49036COMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System CurrentSince Aug 1, 2019 Accepting new patients
Colorado Post-Acute Medical Services 1 PC Hospitalist CurrentSince May 1, 2017 Accepting new patients
Inpatient Consultants of Colorado PC Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Seasons Medical Group of Colorado, PC CurrentSince Apr 1, 2020 Accepting new patients
Inpatient Consultants of Colorado PC Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
CS Pacs 3 Northwest, LLC Hospitalist CurrentSince Aug 1, 2024 Accepting new patients
Portercare Adventist Health System CurrentSince Aug 1, 2019 Accepting new patients
Co Pacs 2 PC Hospitalist CurrentSince Feb 1, 2022 Accepting new patients
Inpatient Consultants of Colorado, PC Family Medicine Past Accepting new patients
HCA Healthone LLC Past Accepting new patients
Seasons Hospice & Palliative Care of Colorado LLC Family Medicine PastSince Apr 1, 2020 Accepting new patients

Locations

12250 E Iliff Ave
Ste 300
Aurora, CO 80014
Phone (720) 524-1550

2525 S Downing St
Denver, CO 80210
Phone (303) 744-2706

2535 S Downing St
Denver, CO 80210
Phone (720) 524-1367

2000 S Colorado Blvd
Ste 420
Denver, CO 80222
Phone (720) 524-1550

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

1500 W Mineral Ave
Littleton, CO 80120
Phone (303) 450-2700

7780 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 347-5360

150 Spring St
Morrison, CO 80465
Phone (303) 697-8181

9191 Sheridan Blvd
Ste 103
Westminster, CO 80031
Phone (303) 428-3107

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Accentcare Hospice & Palliative Care of ColoradoWestminster, CO, CCN 061593 Hospice Contracted Managing Employee Aug 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1208736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1386818342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12250 E ILIFF AVE",
            "address_2": "#300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146318",
            "telephone_number": "720-524-1550",
            "fax_number": "720-524-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 E ILIFF AVE",
            "address_2": "#300",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800146318",
            "telephone_number": "720-524-1550",
            "fax_number": "720-524-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSAB",
        "first_name": "DURIED",
        "middle_name": "MAWAHEB",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-21",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "49036",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0049036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14824779",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.