Active NPI
Tamrat Bekele MD
- Internal Medicine Physician
- Carbondale, PA
National Provider Identifier
1184746042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD065698L
- Legal business name
- TAMRAT BEKELE MD
- Practice address
- 165 Fallbrook St
Carbondale, PA 18407-1810 - Phone
- (570) 282-3151
- NPI assigned
- Apr 4, 2007
- Last updated
- Jun 26, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamrat Bekele, MD
- Title
- Ceo
- Phone
- (570) 282-3151
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD065698L | PA | Primary |
Addresses
Primary practice location
165 Fallbrook St
Carbondale, PA 18407-1810
Mailing address
165 Fallbrook St
Carbondale, PA 18407-1810
Phone (570) 282-3151
National Provider Directory
National Provider DirectoryLocations
165 Fallbrook St
Carbondale, PA 18407
Phone (570) 282-3151
Interoperability endpoints
- https://api.platform.athenahealth.com/6392/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Carbondale, PA
- NPI 1376545947
-
- Medical Physician Assistant
- Carbondale, PA
- NPI 1164774261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1184746042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 FALLBROOK ST",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184071810",
"telephone_number": "570-282-3151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 FALLBROOK ST",
"city": "CARBONDALE",
"state": "PA",
"postal_code": "184071810",
"telephone_number": "570-282-3151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMRAT BEKELE MD",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "BEKELE",
"authorized_official_first_name": "TAMRAT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "570-282-3151",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD065698L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.