Nohe Sebhatu, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP8931 Issued in AZ

Practice address

4540 E Baseline Rd Ste 109
Mesa, AZ 85206-4616

Phone

(480) 982-3337

Fax

(480) 497-4580

NPI assigned

Mar 1, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Az Dermatology LLCGroup PAC ID 5698850543, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nohe.s@atozderm.emadirect.md

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.

• Az Dermatology LLC

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1508035411
  Medicare reassignment Care Compare group NPD
• Az Dermatology

  • Specialist
  • Maricopa, AZ
  • NPI 1962737965
  NPD

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1093175226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064616",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 E BASELINE RD STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064616",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10503 W Thunderbird Blvd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513047",
            "country_code": "US",
            "telephone_number": "623-466-8585",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 N Trekell Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851221705",
            "country_code": "US",
            "telephone_number": "520-374-2462",
            "fax_number": "520-374-2467",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1343 N Alma School Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245941",
            "country_code": "US",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6724 S Kings Ranch Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gold Canyon",
            "state": "AZ",
            "postal_code": "851182962",
            "country_code": "US",
            "telephone_number": "480-982-3337",
            "fax_number": "480-497-4580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBHATU",
        "first_name": "NOHE",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-01",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8931",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.

Verify at the official NPI Registry.