Individual provider Active NPI

Mebrahtom W Tesfai, MD

  • Internal Medicine Physician
  • Lancaster, SC
National Provider Identifier
1023297397
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40101 Issued in SC
Practice address
800 W Meeting St
Lancaster, SC 29720-2202
Phone
(803) 286-1214
NPI assigned
Nov 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD40101 SC
Internal Medicine Physician 207R00000X 2007-01772 NC
Internal Medicine Physician 207R00000X 40101 SC Primary

Addresses

Primary practice location

800 W Meeting St
Lancaster, SC 29720-2202

Mailing address

PO Box 23321
New York, NY 10087-4321

Other names 1

  • Mebrahtom W Tesfai Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WV, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20071217000788 NC Practitioner - Internal Medicine 0941390751 Reassigns benefits to 1 organization
I20090721000242 WV Practitioner - HospitalistPractitioner - Internal Medicine 0941390751
I20180201000450 SC Practitioner - Internal Medicine 0941390751 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community Physicians 1,353 clinicians

Practice addresses (Care Compare)

800 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1330

Hospital & facility affiliations

  • Musc Health Lancaster Medical Center Hospital, Lancaster, SC, CCN 420036
  • Musc Health Chester Medical Center Hospital, Chester, SC, CCN 420019

Merit-based Incentive Payment System (MIPS)

Final score
99.91 of 100Reported as group
Improvement activities
40
Cost
85.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007-01772NCMDInternal Medicine Physician
40101SCMDInternal Medicine Physician
MD40101SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC CurrentSince May 8, 2017 Accepting new patients
Musc Community Physicians Internal Medicine Current Accepting new patients
FHPG, LLC CurrentSince May 8, 2017 Accepting new patients
SC Hospital Medicine Physicians LLC Internal Medicine CurrentSince May 1, 2020 Accepting new patients
Sound Physicians of South Carolina, LLC Internal Medicine CurrentSince Dec 22, 2018 Accepting new patients
Musc Community Physicians Internal Medicine CurrentSince Oct 1, 2024 Accepting new patients
Mebrahtom Tesfai PLLC CurrentSince Sep 4, 2012 Accepting new patients
Musc Community Physicians CurrentSince Oct 1, 2024 Accepting new patients
FHPG, LLC Current Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince Nov 8, 2017 Accepting new patients
Medical University Hospital Authority Past Accepting new patients
Columbus Regional Health Network Internal Medicine Past Accepting new patients
Hamlet Hma PPM LLC Internal Medicine Past Accepting new patients

Locations

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

1 Medical Park Dr
Chester, SC 29706
Phone (803) 581-3151

800 W Meeting St
Lancaster, SC 29720
Phone (803) 286-1214

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

212 Professional Park
Beckley, WV 25801
Phone (304) 894-8827

Interoperability endpoints

  • Direct secure messaging: mtesfai282255@direct.musc.edu

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1023297397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23321",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100874321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MEETING ST",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297202202",
            "telephone_number": "803-286-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFAI",
        "first_name": "MEBRAHTOM",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MD40101",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2007-01772",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "40101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "800 W Meeting St",
            "city": "Lancaster",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297202202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEBRAHTOM",
            "last_name": "TESFAI",
            "middle_name": "W",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.