Eden Asefaw Ghebresilasie, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA3418 Issued in FL

Practice address

18260 NE 19TH Ave
Suite 201
North Miami Beach, FL 33162-1632

Phone

(305) 956-9062

Fax

(305) 354-4524

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pinnacle Medical Clinic, P.a.Group PAC ID 4981670569, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCHCDD/Endpoint/BCHCDD

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.

• Pinnacle Medical Clinic, P.a.

  • Internal Medicine Physician
  • Charlotte, NC
  • NPI 1891843967
  Medicare reassignment Care Compare group
• Grace Medical Clinics P.a.

  • Internal Medicine Physician
  • Concord, NC
  • NPI 1609978824
  Medicare reassignment NPD
• Cardiology Associates of North Miami Beach PA

  • Cardiovascular Disease Physician
  • North Miami Beach, FL
  • NPI 1487868410
  NPD (past)
• Harmony CMHC Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Miami Beach, FL
  • NPI 1730136581
  NPD (past)
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767

  Physician Assistant

  NPD (past)
• Central Pediatrics & Internal Medicine, PA

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1871977249
  NPD (past)
• Grace Pediatric Clinic, P.a.

  • Pediatrics Physician
  • Charlotte, NC
  • NPI 1447307384
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1164591400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2642 COLLINS AVE",
            "address_2": "APT 207",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "305-215-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18260 NE 19TH AVE",
            "address_2": "SUITE 201",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331621632",
            "telephone_number": "305-956-9062",
            "fax_number": "305-354-4524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEBRESILASIE",
        "first_name": "EDEN",
        "middle_name": "ASEFAW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Germeil Medical Inc
• Jeanne Esther Germeil, M.D.
• Kervine M Gervil
• Natalie Gerzanich
• Reyan Azad Ghany, MD, FACC, FASE, RPVI
• Alisia Gibbs
• Kenneth P. Gibson, D.D.S.
• Gigi Adult Family Care Home Inc
• Miriela Gil Vazquez
• Jonathan Gil, CTRS

• Physician Assistant in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.