Individual provider Active NPI

Zelalem Mengistu Gebiremichael

  • Non-emergency Medical Transport (VAN)
  • Aurora, CO
National Provider Identifier
1467081281
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
111650263 Issued in CO
Practice address
13074 E Kansas Dr Apt H104
Aurora, CO 80012-7314
Phone
(720) 505-9709
Fax
(303) 667-7293
NPI assigned
Apr 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 111650263 CO Primary

Addresses

Primary practice location

13074 E Kansas Dr Apt H104
Aurora, CO 80012-7314

Mailing address

13074 E Kansas Dr Apt H104
Aurora, CO 80012-7314
Phone (720) 505-9709

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
111650263COMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Ommega Transportation LLC Non-Emergency Medical Transport (Van) Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1467081281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13074 E KANSAS DR APT H104",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800127314",
            "telephone_number": "720-505-9709",
            "fax_number": "303-667-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13074 E KANSAS DR APT H104",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800127314",
            "telephone_number": "720-505-9709",
            "fax_number": "303-667-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBIREMICHAEL",
        "first_name": "ZELALEM",
        "middle_name": "MENGISTU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CO",
            "license": "111650263",
            "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 Apr 3, 2020; 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.