MIKIAS ABEBE KEBEDE NPI 1053622399

NPI Information

NPI: 1053622399
Provider Name: MIKIAS ABEBE KEBEDE
Classification: Hospitalist - 208M00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
501 E HAMPDEN AVE
ENGLEWOOD, CO
ZIP 80113
Phone: (303) 788-6911
Get Directions

Mikias Abebe Kebede is a hospitalist in Englewood, CO with 20 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Mikias Abebe Kebede NPI is 1053622399. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 E HAMPDEN AVE
ENGLEWOOD, CO
ZIP 80113-702
Phone: (303) 788-6911
Fax: (303) 306-7753

The NPI 1053622399 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/1/2010 and was last updated on 12/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207R00000X	Internal Medicine	DR.0053823	COLORADO	No
2	207R00000X	Internal Medicine	0101253543	VIRGINIA	No
3	207R00000X	Internal Medicine	60590	WISCONSIN	No
4	208M00000X	Hospitalist	60590	WISCONSIN	No
5	208M00000X	Hospitalist	DR.0053823	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	75104067	MEDICAID	COLORADO
2	P01373719	OTHER	COLORADO	RAIL ROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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