Active NPI
Yisfalem W Alamdew, M.D.
- Nephrology Physician
- Parker, CO
National Provider Identifier
1699921817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 49973
- Practice address
- 9397 Crown Crest Blvd Ste 401
Parker, CO 80138-8789 - Phone
- (303) 697-1636
- Fax
- (303) 805-9948
- NPI assigned
- Aug 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 49973 | CO | Primary |
Addresses
Primary practice location
9397 Crown Crest Blvd Ste 401
Parker, CO 80138-8789
Mailing address
9397 Crown Crest Blvd Ste 401
Parker, CO 80138-8789
Phone (303) 697-1636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43083382 | Medicaid | CO |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110805000181 | CO | Practitioner - Nephrology | 8022287184 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Consultants in Nephrology and Hypertension Professional LLC
Practice addresses (Care Compare)
9397 Crown Crest Blvd
Suite 401
Parker, CO 80138-8789
Phone (303) 697-1636
Hospital & facility affiliations
- 062583 Parker Kidney Center (Ara)
- 062595-Fresenius Kidney Care Castle Rock Dialysis
- AdventHealth Parker
- Adventhealth Castle Rock
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49973 | CO | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Nephrology and Hypertension Professional LLC | Nephrology | Current | Accepting new patients |
| Consultants in Nephrology and Hypertension Professional LLC | Nephrology | Current | Accepting new patients |
Locations
4350 Limelight Ave
Unit 250
Castle Rock, CO 80109
Phone (303) 697-1636
9397 Crown Crest Blvd
Ste 401
Parker, CO 80138
Phone (303) 407-7920
Organizations & group practices 2
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.
-
- Nephrology Physician
- Parker, CO
- NPI 1578642922
CO, Nephrology
-
- Nephrology Physician
- Castle Rock, CO
- NPI 1184261422
Nephrology
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Castle Rock, CO
- NPI 1497390546
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Parker, CO
- NPI 1891127320
Dialysis facility
-
- General Acute Care Hospital
- Castle Rock, CO
- NPI 1912249590
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1699921817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9397 CROWN CREST BLVD STE 401",
"city": "PARKER",
"state": "CO",
"postal_code": "801388789",
"telephone_number": "303-697-1636",
"fax_number": "303-805-9948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9397 CROWN CREST BLVD STE 401",
"city": "PARKER",
"state": "CO",
"postal_code": "801388789",
"telephone_number": "303-697-1636",
"fax_number": "303-805-9948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAMDEW",
"first_name": "YISFALEM",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-08",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CO",
"license": "49973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43083382",
"state": "CO"
}
],
"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 Apr 5, 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.