NPIMap

Individual provider Active NPI

Fatima Ballout, M.D.

  • Nephrology Physician
  • Lakewood, CO
National Provider Identifier
1881043131
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
DR.0067590 Issued in CO
Practice address
274 Union Blvd Ste 110
Lakewood, CO 80228-1836
Phone
(720) 536-2100
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125068755 IL
Nephrology Physician 207RN0300X DR.0067590 CO Primary

Addresses

Primary practice location

274 Union Blvd Ste 110
Lakewood, CO 80228-1836

Mailing address

13901 E Exposition Ave Ste 202
Aurora, CO 80012-2535
Phone (303) 327-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211213001314 CO Practitioner - Nephrology 0345534129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Denver Nephrologists PCGroup PAC ID 8729991393, 45 clinicians

Practice addresses (Care Compare)

919 Jasmine St
Denver, CO 80220-4588
Phone (303) 991-0993

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0067590COMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Nephrologists PC Nephrology Current Accepting new patients
Denver Nephrologists, PC CurrentSince Dec 7, 2021 Accepting new patients

Locations

1411 S Potomac St
Ste 200
Aurora, CO 80012
Phone (303) 367-2225

13901 E Exposition Ave
Ste 202
Denver, CO 80012
Phone (720) 413-1693

919 Jasmine St
Denver, CO 80220
Phone (303) 388-4256

4545 E 9th Ave
Ste 150
Denver, CO 80220
Phone (303) 991-0993

130 Rampart Way
Ste 300B
Denver, CO 80230
Phone (303) 343-4700

274 Union Blvd
Ste 110
Lakewood, CO 80228
Phone (720) 536-2100

Interoperability endpoints

  • Direct secure messaging: fatima.ballout@ckc.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1881043131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13901 E EXPOSITION AVE STE 202",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122535",
            "telephone_number": "303-327-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 UNION BLVD STE 110",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281836",
            "telephone_number": "720-536-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLOUT",
        "first_name": "FATIMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125068755",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "DR.0067590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.