NPIMap

Individual provider Active NPI

Fitsum Abreha Sr., CROSS DME SUPPLIER

  • Driver
  • Phoenix, AZ
National Provider Identifier
1124574579
Registry record updated Aug 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Practice address
4760 N 28TH St
Phoenix, AZ 85016-4846
Phone
(480) 277-1016
NPI assigned
Aug 26, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X Primary

Addresses

Primary practice location

4760 N 28TH St
Phoenix, AZ 85016-4846

Mailing address

4760 N 28TH Street
Phoenix, AZ 85339
Phone (480) 277-1016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ameliorate Care Current Accepting new patients
Cross Non Emergency Medical Transportation Current Accepting new patients
Cross Non-Emergency Medical Transportation LLC Current Accepting new patients
Top Attendant Care LL Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1124574579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 N 28TH STREET",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85339",
            "telephone_number": "480-277-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 N 28TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164846",
            "telephone_number": "480-277-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABREHA",
        "first_name": "FITSUM",
        "name_suffix": "Sr.",
        "credential": "CROSS DME SUPPLIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.