David Abbott, MD
Individual provider Active NPI Diagnostic Radiology Physician · Pueblo, CO
NPI 1841421344 · NPPES record last updated Mar 3, 2016
Key facts
- NPI
- 1841421344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- DR.0054895 (CO)
- Practice address
- 1619 N Greenwood St
Suite 103
Pueblo, CO 81003-2644 - Phone
- (719) 542-2167
- NPI assigned
- Jul 31, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 28
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Ohio State University College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Colorado Radiologists, P.C.
Parkwest Imaging, L.L.C
Practice addresses (Care Compare)
1619 N Greenwood St
Suite 103
Pueblo, CO 81003-2655
Phone (719) 542-2167
3676 Parker Blvd
Suite 165
Pueblo, CO 81008-2212
Phone (719) 595-7600
Hospital & facility affiliations
- Parkview Medical Center, Inc
- Uch-Memorial Health System
- Prowers Medical Center
- Arkansas Valley Regional Medical Center
- Miners' Colfax Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150521001388 | CO | Practitioner - Diagnostic Radiology | 3173843745 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0054895 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkwest Imaging, L.L.C | Diagnostic Radiology | Current |
Accepting new patients |
| Southern Colorado Radiologists, P.C. | Current |
Accepting new patients | |
| Radiology Associates | Diagnostic Radiology | Past |
Accepting new patients |
Locations
400 W 16th St
Pueblo, CO 81003
Phone (719) 584-4000
3676 Parker Blvd
Pueblo, CO 81008
Phone (719) 253-7000
3676 Parker Blvd
Ste 165
Pueblo, CO 81008
Phone (719) 253-7040
1619 N Greenwood St
Ste 103
Pueblo, CO 81003
Phone (719) 542-2167
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | DR.0054895 | CO | Yes |
Addresses
Primary practice location
1619 N Greenwood St
Suite 103
Pueblo, CO 81003-2644
Mailing address
1619 N Greenwood St
Suite 103
Pueblo, CO 81003-2644
Phone (719) 542-2167
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87829860 | Medicaid | CO |
Other providers in Pueblo, CO
- Patricia Clay Aaron
- ABA Total Care Co LLC
- Cynthia Caparros Abacan
- Abba Eye Care PC
- Abba Eye Care PC
- Mark Fredric Abbott
- Abc Home Health Care Inc.
- Abc Home Health Care Personal Services,Inc
- Abc Home Health Care, Inc.
- John Emad Abdel Sayed
All providers in Pueblo, CO · Diagnostic Radiology Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.