JOAB ODHIAMBO ACHOLLA
NPI 1093336752
Nurse Practitioner - Acute Care in Dallas, TX

Active since May 04, 2020PECOS EnrolledAccepts Medicare Assignment
221 W COLORADO BLVD STE 525, DALLAS, TX 75208(214) 960-5681 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2023, Apr 12, 2023, May 4, 2020 (3 updates tracked since 2020).

About Joab Odhiambo Acholla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOAB ODHIAMBO ACHOLLA (NPI 1093336752) is an individual acute care provider in Dallas, Texas, licensed in Texas (AP143153) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and maintains a secondary practice location in Fort Worth.

NPPES Registry Identity

NPI1093336752
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJOAB ODHIAMBO ACHOLLA
Location Address221 W COLORADO BLVD STE 525Dallas, TX 75208-2312
Mailing Address2216 Elmwood Dr Apt 426Arlington, TX 76010-8754 · (817) 946-4695
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 4, 2020
Last NPPES UpdateAugust 30, 20233 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1093336752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · AP143153
221 W COLORADO BLVD STE 525, Dallas, TX 75208

Secondary Practice Location 1

Location 11400 8th AveFort Worth, TX 76104-4110 · Phone (817) 926-2544

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joab Odhiambo Acholla is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133541774
PECOS Enrollment IDI20200626001957
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Joab Acholla reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
221 W COLORADO BLVD STE 525
Dallas, TX 75208
  • Reassigned Medicare billing, Texas enrollment
  • 254 clinicians in this Medicare group
Anesthesiology
3600 GASTON AVE STE 550
Dallas, TX 75246
  • Reassigned Medicare billing, Texas enrollment
  • 3,167 clinicians in this Medicare group
Family Medicine
4545 FULLER DR STE 325
Irving, TX 75038
  • Reassigned Medicare billing, Texas enrollment
  • 802 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
Critical Care Medicine
1001 COLLEGE AVE, STE A
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 13 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Texas enrollment
  • 2,009 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
16 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450021
Location3500 Gaston AveDallas, TX 75246 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Psychiatry & Neurology (Neurocritical Care)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Physician Assistant
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Nurse Practitioner (Acute Care)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Nurse Practitioner (Acute Care)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Nurse Practitioner (Acute Care)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Nurse Practitioner (Acute Care)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208
Nurse Practitioner (Acute Care)
221 W COLORADO BLVD STE 525
DALLAS, TX 75208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joab Acholla's NPI number?

The NPI number for Joab Acholla is 1093336752. It was assigned to this individual provider in the NPPES registry on May 4, 2020.

Where is Joab Acholla located?

Joab Acholla practices at 221 W Colorado Blvd Ste 525, Dallas, TX 75208. The listed phone number is (214) 960-5681.

What is Joab Acholla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Joab Acholla enrolled in Medicare?

Yes. Joab Acholla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Joab Acholla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joab Acholla reassigns Medicare benefits to 6 organizations: Dallas Pulmonary & Critical Care PA (Dallas, TX), Healthtexas Provider Network (Dallas, TX), Vpa Of Texas PLLC (Irving, TX), Signify Health Medical Associates, PLLC (Dallas, TX), Dfw Critical Care LLC (Fort Worth, TX) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Joab Acholla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joab Acholla accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Joab Acholla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Joab Acholla affiliated with any hospitals?

According to CMS data, Joab Acholla is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Joab Acholla was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.