Sally Linda Fabec, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20742 Issued in CO

Practice address

134 W Main St
Suite 11
Trinidad, CO 81082-2604

Phone

(719) 846-4433

Fax

(719) 846-9500

NPI assigned

Jun 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

84.05 of 100Reported as group

Quality

84.23

Promoting interoperability

100

Improvement activities

40

Cost

51.71

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Trinidad Area Health Association

  • Family Medicine Physician
  • Trinidad, CO
  • NPI 1467400309

  Internal Medicine

  Medicare reassignment NPD
• Trinidad Area Health Association

  • Critical Access Hospital
  • Trinidad, CO
  • NPI 1184616740
  NPD
• Trinidad Area Health Association

  • Orthopaedic Surgery Physician
  • Trinidad, CO
  • NPI 1548965999
  NPD

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1427093111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W MAIN ST",
            "address_2": "STE 11",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822604",
            "telephone_number": "719-846-4433",
            "fax_number": "719-846-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W MAIN ST",
            "address_2": "SUITE 11",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822604",
            "telephone_number": "719-846-4433",
            "fax_number": "719-846-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABEC",
        "first_name": "SALLY",
        "middle_name": "LINDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "20742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "010014335",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01207422",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "010358000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Dipaola
• Christina Doerr, BEHAVIOR TECHNICIAN
• Jose Marcelo E Souza Mafra, PT
• Kelley Eden, ND
• Joanne Espinosa, R N
• Summer Faris
• Karen I Fedde, MD
• Chelsea Ferguson
• Sara Jan Ferguson, OTR/L
• Robert David Fiorenzi, RPH

• Internal Medicine Physician in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.