Active NPI
Emnet Sisay, MD
- Infectious Disease Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- Q3106
- Practice address
- 1325 Pennsylvania Ave
Ste. 325
Fort Worth, TX 76104-2158 - Phone
- (817) 887-9389
- Fax
- (817) 887-9392
- NPI assigned
- Jan 31, 2011
- Last updated
- Sep 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Q3106 | TX | Primary |
Addresses
Primary practice location
1325 Pennsylvania Ave
Ste. 325
Fort Worth, TX 76104-2158
Mailing address
PO Box 802772
Dallas, TX 75380-2772
Phone (972) 484-7700
Other names 1
- Emnet Sisay Worku
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 Pennsylvania Ave
Suite 350
Fort Worth, TX 76104-2172
Phone (817) 887-9389
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- esisay@iddoctors.ssdirect.aprima.com
Organizations & group practices 1
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.
-
- Infectious Disease Physician
- Plano, TX
- NPI 1811083702
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White All Saints Medical Center - Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1669472387
-
dba Medical City Fort Worth
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1659323772
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1073819595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 802772",
"city": "DALLAS",
"state": "TX",
"postal_code": "753802772",
"telephone_number": "972-484-7700",
"fax_number": "972-484-7718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 PENNSYLVANIA AVE",
"address_2": "STE. 325",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042158",
"telephone_number": "817-887-9389",
"fax_number": "817-887-9392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISAY",
"first_name": "EMNET",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-31",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "Q3106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EMNET",
"last_name": "WORKU",
"middle_name": "SISAY",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.