Active NPI
Christopher John Colombo, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- D0067388
- Practice address
- Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-1422 - Phone
- (253) 968-2252
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60928407 | WA | |
| Internal Medicine Physician | 207R00000X | D0067388 | MD | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | D0067388 | MD | Primary |
Addresses
Primary practice location
Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-1422
Mailing address
PO Box 791372
Baltimore, MD 21279-1372
Phone (301) 608-8375
Other practice location 1
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3100
Other practice location 2
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 942-3627 ext. 7417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 415096100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Eastern Virginia Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14207 Park Ctr Dr
Suite 102
Laurel, MD 20707-5255
Phone (301) 604-5254
500 Lilly Rd NE
Suite 204
Olympia, WA 98506-5197
Phone (360) 413-8272
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0067388 | MD | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kadlec Regional Medical Center | Internal Medicine | Current | Accepting new patients |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients |
Locations
500 Lilly Rd NE
Ste 204
Olympia, WA 98506
Phone (360) 413-8191
525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550
888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115
1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300
550 Gage Blvd
Ste 101
Richland, WA 99352
Interoperability endpoints
- ccolombo158280@direct.hopkinsmedicine.org
Organizations & group practices 5
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.
-
dba Providence Medical Group SouthWest Washington
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
-
- Orthopaedic Surgery Physician
- Richland, WA
- NPI 1194263608
-
dba Kadlec Regional Medical Center - Rehab Unit
- Rehabilitation Hospital Unit
- Richland, WA
- NPI 1790319580
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St Peter Hospital
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
-
- General Acute Care Hospital
- Bethesda, MD
- NPI 1205896446
-
dba Suburban Hospital Radiation Oncology Infusion Center
- Radiation Oncology Clinic/Center
- Bethesda, MD
- NPI 1528096690
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1992814057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 791372",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212791372",
"telephone_number": "301-608-8375",
"fax_number": "301-608-3979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984311422",
"telephone_number": "253-968-2252"
}
],
"practiceLocations": [
{
"address_1": "8600 Old Georgetown Rd",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208141422",
"country_code": "US",
"telephone_number": "301-896-3100",
"fax_number": "301-581-0077",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "888 Swift Blvd",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993523514",
"country_code": "US",
"telephone_number": "509-942-3627 x7417",
"fax_number": "509-627-2983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLOMBO",
"first_name": "CHRISTOPHER",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60928407",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0067388",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MD",
"license": "D0067388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "415096100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.