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DR. JOSEPH G ABDALLAH M.D.
NPI 1306843602
Internal Medicine - Nephrology in Westminster, CO

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
95.02/100
CMS Quality Rating
8410 DECATUR ST STE 100, WESTMINSTER, CO 80031(303) 430-7000(303) 430-1506 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2021, Mar 24, 2020, Mar 11, 2020 (3 updates tracked since 2020).

About Dr. Joseph G Abdallah M.d. NPPES

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

DR. JOSEPH G ABDALLAH M.D. (NPI 1306843602) is an individual nephrology provider in Westminster, Colorado, licensed in Colorado (DR.0050531) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lafayette, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1306843602
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JOSEPH G ABDALLAHCredential: M.D.
Location Address8410 DECATUR ST STE 100Westminster, CO 80031-3811
Mailing Address8410 Decatur St Ste 100Westminster, CO 80031-3811 · (303) 430-7000 · Fax (303) 430-1506
Phone(303) 430-7000
Fax(303) 430-1506
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJune 30, 2005
Last NPPES UpdateMay 14, 20213 updates tracked since enumeration
NPPES CertifiedMay 14, 2021
✔ NPI 1306843602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in CO · DR.0050531
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

8410 DECATUR ST STE 100, Westminster, CO 80031
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 Exempla CirLafayette, CO 80026-3370 · Phone (303) 338-4545

Other Identifiers 3

Medicaid27029743CO
Medicaid100644700AKS
Other028698CO · Kaiser Commercial Number

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

Dr. Joseph G Abdallah M.d. 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 ID9436051398
PECOS Enrollment IDI20120222000333
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 9

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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
114 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
114 services54 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
70 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services28 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
47 services12 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
40 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80031 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.52
Promoting Interoperability98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims660 services$0.92 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers15 claims15 services$18.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MISS ANNE LORETTA HALL DNP, FNP-BC
Nurse Practitioner (Family)
8410 DECATUR ST STE 100
WESTMINSTER, CO 80031
Adams County (303) 430-7000
WESTERN NEPHROLOGY & METABOLIC BONE DISEASE, P.C.
Internal Medicine (Nephrology)
8410 DECATUR ST STE 100
WESTMINSTER, CO 80031
Adams County (303) 430-7000
MRS. KATHERINE MCCRARY AKERS M.D.
Internal Medicine (Nephrology)
8410 DECATUR ST STE 100
WESTMINSTER, CO 80031
Adams County (303) 430-7000

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 Joseph Abdallah's NPI number?

The NPI number for Joseph Abdallah is 1306843602. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Joseph Abdallah located?

Joseph Abdallah practices at 8410 Decatur St Ste 100, Westminster, CO 80031. The listed phone number is (303) 430-7000.

What is Joseph Abdallah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Joseph Abdallah enrolled in Medicare?

Yes. Joseph Abdallah 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.

When was this NPI record last updated?

The NPPES record for Joseph Abdallah was last updated on May 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.