Individual provider Active NPI

Nagi Abdallamohamedel Elfadil, M.D

  • Contractor
  • Aurora, CO
National Provider Identifier
1750822706
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
20161779917 Issued in CO
Practice address
5480 S Valdai St
Aurora, CO 80015-6524
Phone
(720) 505-8201
Fax
(720) 505-8201
NPI assigned
Mar 10, 2017
Sex
Male
Sole proprietor
Yes

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.

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20161779917COMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Qure Way LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 20161779917 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

5480 S Valdai St
Aurora, CO 80015-6524

Mailing address

5480 S Valdai St
Aurora, CO 80015-6524
Phone (720) 505-8201

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2017.

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1750822706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 S VALDAI ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800156524",
            "telephone_number": "720-505-8201",
            "fax_number": "720-505-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 S VALDAI ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800156524",
            "telephone_number": "720-505-8201",
            "fax_number": "720-505-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFADIL",
        "first_name": "NAGI",
        "middle_name": "ABDALLAMOHAMEDEL",
        "name_prefix": "Mr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CO",
            "license": "20161779917",
            "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 Mar 10, 2017; 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.