Mark A Ebadi, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

40389 Issued in CO

Practice address

125 Rampart Way
Suite 200
Denver, CO 80230-6406

Phone

(720) 858-7600

Fax

(720) 858-7605

NPI assigned

Jan 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Allergy/Immunology

Education

University of Nebraska College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado Allergy and Asthma Centers PCGroup PAC ID 9133012842, 25 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

64.87 of 100Reported as group

Quality

41.92

Promoting interoperability

62

Improvement activities

40

Cost

72.65

Procedures performed for Medicare patients

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.

• Colorado Allergy and Asthma Centers, PC

  • Specialist
  • Denver, CO
  • NPI 1417986134
  Medicare reassignment Care Compare group NPD
• Colorado Allergy and Asthma Centers, PC

  • Specialist
  • Denver, CO
  • NPI 1861166340
  NPD
• Colorado Allergy and Asthma Centers, PC

  • Specialist
  • Brighton, CO
  • NPI 1992377675
  NPD (past)
• Endeavor Health Medical Group

  dba NorthShore Anesthesia Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD (past)
• Endeavor Health Medical Group

  dba NorthShore University HealthSystem Faculty Practice Associates

  • Emergency Medicine Physician
  • Evanston, IL
  • NPI 1497701882

  Allergy & Immunology

  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1639140247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY",
            "address_2": "SUITE 100",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306406",
            "telephone_number": "720-858-7600",
            "fax_number": "720-858-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RAMPART WAY",
            "address_2": "SUITE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306406",
            "telephone_number": "720-858-7600",
            "fax_number": "720-858-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBADI",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-31",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "40389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "72620544",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eating Recovery Center, LLC
• Allyson Brooke Eaton
• Chaziti Eaton
• Kaelynn Vickarelli Eaton, LCSW
• Skylar Eaton, PEER SUPPORT
• Patricia Stout Ebel, LPC
• Robert Ebeling, D.C.
• Samantha Ebeling
• Steven T. Ebeling, CRNA
• Aaron M Eberhardt, MD

• Specialist in Denver, CO
• Providers in Denver, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.