Individual provider Active NPI

Abayneh Woldekidane, MD

  • Internal Medicine Physician
  • Parker, CO
National Provider Identifier
1679738561
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
46896 Issued in CO
Practice address
12230 Lioness Way
Parker, CO 80134
Phone
(720) 644-9355
NPI assigned
Jul 21, 2008
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091230000668 CO Practitioner - Internal Medicine 2163563909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
76.42 of 100Reported as apm
Quality
55.23
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Consultants PLLC Internal Medicine CurrentSince Oct 31, 2016 Accepting new patients
Careconnectmd Colorado Inc. Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Summit Medical Consultants Aco Prof LLC Internal Medicine CurrentSince Aug 26, 2023 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.

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

Verify at the official NPI Registry.