Individual provider Active NPI

Michael Zerihun Gebeyehu, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1053728188
Registry record updated Dec 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD44366 Issued in IA
Practice address
234 E 149TH St
Bronx, NY 10451-5504
Phone
(718) 579-5874
Fax
(718) 579-4836
NPI assigned
Jul 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD44366 IA
Internal Medicine Physician 207R00000X MD44366 IA Primary

Addresses

Primary practice location

234 E 149TH St
Bronx, NY 10451-5504

Mailing address

234 E 149TH St
Bronx, NY 10451-5504
Phone (718) 579-5874

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170828000473 IA Practitioner - HospitalistPractitioner - Internal Medicine 1557633484 Reassigns benefits to 1 organization
I20210907001713 TX Practitioner - HospitalistPractitioner - Internal Medicine 1557633484 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians

Practice addresses (Care Compare)

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 593-8441

Hospital & facility affiliations

  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102
  • Christus Mother Frances Hospital Sulphur Springs Hospital, Sulphur Springs, TX, CCN 450236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD44366IAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Iowa, PLLC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Cogent Healthcare of Iowa, PC Internal Medicine CurrentSince Jul 22, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 18, 2021 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Oct 18, 2021 Accepting new patients
Tyler Physician Services, PLLC Hospitalist CurrentSince Apr 1, 2024 Accepting new patients
Mother Frances Hospital Regional Health Care Center Past Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

8389 S Broadway Ave
Tyler, TX 75703
Phone (903) 606-4129

800 E Dawson St
Fl 4
Tyler, TX 75701
Phone (903) 531-4080

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

Interoperability endpoints

  • Direct secure messaging: mgebeyehu259041@christushealth.direct-ci.net

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513209600000",
    "number": "1053728188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5874",
            "fax_number": "718-579-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5874",
            "fax_number": "718-579-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBEYEHU",
        "first_name": "MICHAEL",
        "middle_name": "ZERIHUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2017-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "MD44366",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD44366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.