Active NPI
Dawit Wubishet, MD
- Internal Medicine Physician
- Far Rockaway, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35099224
- Practice address
- 327 Beach 19TH St
Far Rockaway, NY 11691-4423 - Phone
- (718) 869-7000
- NPI assigned
- Apr 11, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 112222 | NY | |
| Internal Medicine Physician | 207R00000X | 35099224 | OH | Primary |
Addresses
Primary practice location
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Mailing address
2004 Seagirt Blvd
5G
Far Rockaway, NY 11691-2802
Phone (240) 421-7554
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dwubishet24111@lickingmemorial.medicity.net | Licking Memorial Health Professionals |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1320 W Main St
Newark, OH 43055-1822
Phone (220) 564-4137
181 Taylor Ave
Columbus, OH 43203-1779
Phone (614) 257-2358
272 Hospital Rd
Chillicothe, OH 45601-9031
Phone (740) 779-7500
6001 E Broad St
Columbus, OH 43213-1502
Phone (614) 234-6000
Hospital & facility affiliations
- Adena Regional Medical Center
- Licking Memorial Hospital
- Adena Fayette Medical Center
- Adena Pike Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.83 of 100
- Quality
- 78.11
- Improvement activities
- 40
- Cost
- 74.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112222 | NY | MD | Social Worker |
| 35099224 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp | Internal Medicine | Current | Accepting new patients |
| Adena Health System | Past | Accepting new patients | |
| Licking Memorial Hospital | Past | Accepting new patients |
Locations
272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275
181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358
550 Mirabeau St
Greenfield, OH 45123
Phone (937) 672-4128
100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186
Interoperability endpoints
- dwubishet2895218@direct.trinity-health.org
- jnr4655y@yourcarecommunity.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Chillicothe, OH
- NPI 1861038069
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Family Medicine Physician
- Newark, OH
- NPI 1326072265
-
- Internal Medicine Physician
- Ashtabula, OH
- NPI 1477500999
-
- General Acute Care Hospital
- Chillicothe, OH
- NPI 1902839673
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Washington Court House, OH
- NPI 1508978677
-
- General Acute Care Hospital
- Chillicothe, OH
- NPI 1902839673
-
- General Acute Care Hospital
- Newark, OH
- NPI 1568446755
-
- Critical Access Hospital
- Waverly, OH
- NPI 1720018971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671062400000",
"number": "1083971311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 SEAGIRT BLVD",
"address_2": "5G",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116912802",
"telephone_number": "240-421-7554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 BEACH 19TH ST",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116914423",
"telephone_number": "718-869-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUBISHET",
"first_name": "DAWIT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-11",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "112222",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35099224",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dwubishet24111@lickingmemorial.medicity.net",
"affiliation": "Y",
"affiliationName": "Licking Memorial Health Professionals",
"address_1": "1320 W Main St",
"city": "Newark",
"state": "OH",
"country_code": "US",
"postal_code": "430551822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.