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

Q: 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.

Q: What is Joab Acholla's specialty?

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

Q: 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 2 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.

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: August 02, 2026.

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

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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

Phone(214) 960-5681

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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 2

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

Texas Health Hospital Mansfield

Acute Care Hospitals · Mansfield, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number670309

Location2300 Lone Star RoadMansfield, TX 76063 · Tarrant 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.

JACQUELINE NICOLE HORST M.D.

Internal Medicine (Pulmonary Disease)