Individual provider Active NPI

Zenar Tekeste Yohannes, MD

  • Pediatrics Physician
  • Centerville, OH
National Provider Identifier
1033504618
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.133658 Issued in OH
Practice address
6555 Clyo Rd
Centerville, OH 45459-2765
Phone
(937) 535-7880
NPI assigned
Apr 1, 2015
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.133658 OH Primary

Addresses

Primary practice location

6555 Clyo Rd
Centerville, OH 45459-2765

Mailing address

6555 Clyo Rd
Centerville, OH 45459-2765

Other identifiers 1

IdentifierTypeStateIssuer
0281999MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190404002310 OH Practitioner - Pediatric Medicine 8224379078 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHMC Community Health Services Network Pediatrics Current Accepting new patients
Dayton Children's Specialty Physicians, Inc. Pediatrics CurrentSince Jan 20, 2019 Accepting new patients
CHMC Community Health Services Network Pediatrics CurrentSince Dec 12, 2024 Accepting new patients
Dayton Children's Specialty Physicians, Inc. Pediatrics CurrentSince Jan 20, 2019 Accepting new patients
CHMC Community Health Services Network Pediatrics Past Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

7502 State Rd
Ste 3350
Cincinnati, OH 45255
Phone (513) 231-3345

1 Childrens Plz
Dayton, OH 45404
Phone (937) 641-3600

1010 Valley St
Dayton, OH 45404
Phone (937) 641-3185

1816 Harvard Blvd
Dayton, OH 45406

6555 Clyo Rd
Dayton, OH 45459
Phone (513) 803-8158

7335 Yankee Rd
Ste 100
Liberty Township, OH 45044

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/FmRItZc30RH60LjxwsIxQM4HGo6XcQXK/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1033504618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 CLYO RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 CLYO RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592765",
            "telephone_number": "937-535-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOHANNES",
        "first_name": "ZENAR",
        "middle_name": "TEKESTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.133658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0281999",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.