Active NPI
Abayneh Woldekidane, MD
- Internal Medicine Physician
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 46896
- Practice address
- 12230 Lioness Way
Parker, CO 80134 - Phone
- (720) 644-9355
- NPI assigned
- Jul 21, 2008
- Last updated
- Sep 12, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 46896 | CO | Primary |
Addresses
Primary practice location
12230 Lioness Way
Parker, CO 80134
Mailing address
12230 Lioness Way
Parker, CO 80134-5603
Phone (720) 644-9355
Other practice location 1
4350 Wadsworth Blvd Ste 201
Wheat Ridge, CO 80033-4634
Phone (720) 898-9612
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 76.42 of 100
- Quality
- 55.23
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Consultants PLLC | Internal Medicine | Current | Accepting new patients |
| Careconnectmd Colorado Inc. | Internal Medicine | Current | Accepting new patients |
| Summit Medical Consultants Aco Prof LLC | Internal Medicine | Current | Accepting new patients |
| Prairie Waters Healthcare, Inc. | Past | Accepting new patients | |
| Center at Lowry, LLC | Past | Accepting new patients | |
| Monaco Community Healthcare, LLC | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589
9250 E Costilla Ave
Ste 540
Greenwood Village, CO 80112
12230 Lioness Way
Parker, CO 80134
Phone (720) 214-7777
Organizations & group practices 6
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.
-
dba Summit Medical Consultants ACO
- Internal Medicine Physician
- Greenwood Village, CO
- NPI 1891471207
-
- Internal Medicine Physician
- Greenwood Village, CO
- NPI 1265822910
-
- Internal Medicine Physician
- Denver, CO
- NPI 1932704905
-
dba Hilltop Park Post Acute
- Skilled Nursing Facility
- Denver, CO
- NPI 1619661097
-
dba The Springs at St. Andrews Village
- Skilled Nursing Facility
- Aurora, CO
- NPI 1093574964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1679738561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12230 LIONESS WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801345603",
"telephone_number": "720-644-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12230 LIONESS WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "80134",
"telephone_number": "720-644-9355"
}
],
"practiceLocations": [
{
"address_1": "4350 Wadsworth Blvd Ste 201",
"address_purpose": "LOCATION",
"city": "Wheat Ridge",
"state": "CO",
"postal_code": "800334634",
"country_code": "US",
"telephone_number": "720-898-9612",
"fax_number": "720-898-9614",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLDEKIDANE",
"first_name": "ABAYNEH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "46896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.