Aida Abraham
Individual provider Active NPI Hospitalist Physician · Castle Rock, CO
NPI 1922502152 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1922502152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- DR.0068015 (CO)
- Practice address
- 2350 Meadows Blvd
Castle Rock, CO 80109-8405 - Phone
- (720) 455-0655
- Fax
- (720) 455-0065
- NPI assigned
- Mar 21, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Portercare Adventist Health System
Practice addresses (Care Compare)
2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (720) 455-0650
Hospital & facility affiliations
- Adventhealth Castle Rock
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: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220601003229 | CO | Practitioner - Hospitalist | 7810236973 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0068015 | CO | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portercare Adventist Health System | Current |
Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current |
Accepting new patients | |
| Portercare Adventist Health System | Past | Accepting new patients |
Locations
2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
Interoperability endpoints
- aabraham1859214@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | DR.0068015 | CO | Yes |
Addresses
Primary practice location
2350 Meadows Blvd
Castle Rock, CO 80109-8405
Mailing address
9100 E Mineral Cir
Centennial, CO 80112-3401
Other practice location 1
1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201
Phone (215) 710-6600
Other providers in Castle Rock, CO
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- Accendo Counseling
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All providers in Castle Rock, CO · Hospitalist 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 Jan 25, 2023. 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.