Individual provider Active NPI

Theodros Mengesha, MD

  • Neurology Physician
  • Madison, AL
National Provider Identifier
1184771909
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
28347 Issued in AL
Practice address
8484 Wann Dr NW Ste a
Madison, AL 35758-9545
Phone
(256) 963-9444
Fax
(256) 963-9446
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 28347 AL
Neurology Physician 2084N0400X 28347 AL Primary

Addresses

Primary practice location

8484 Wann Dr NW Ste a
Madison, AL 35758-9545

Mailing address

8484 Wann Dr NW Ste a
Madison, AL 35758-9545
Phone (256) 963-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080219000178 AL Practitioner - Neurology 1456434109 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Physicians NetworkGroup PAC ID 6901132448, 107 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 265-1198

201 Sivley Rd SW
Suite 540
Huntsville, AL 35801-5138
Phone (256) 265-0400

700 W Market St
Athens, AL 35611-2457
Phone (256) 262-2197

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as apm
Quality
82.81
Promoting interoperability
83.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28347ALMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Valley Neurological Associates PC Specialist CurrentSince May 30, 2017 Accepting new patients
Harmony Behavioral Health LLC. CurrentSince Dec 3, 2025 Accepting new patients
HH Physicians Network Specialist CurrentSince Jul 1, 2020 Accepting new patients

Locations

700 W Market St
Athens, AL 35611
Phone (256) 233-9292

201 Sivley Rd SW
Ste 540
Huntsville, AL 35801
Phone (256) 265-0400

201 Sivley Rd SW
Ste 330
Huntsville, AL 35801
Phone (256) 265-1910

201 Sivley Rd SW
Ste 600
Huntsville, AL 35801
Phone (256) 265-2695

10000 Serenity Ln SE
Huntsville, AL 35803
Phone (256) 650-1212

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

8484 Wann Dr NW
#B
Madison, AL 35758
Phone (256) 469-1446

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

8484 Wann Dr NW
#A
Madison, AL 35758
Phone (256) 963-9444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDHAED/Endpoint/EDHAED
  • Direct secure messaging: theodros.mengesha.1@25970.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1184771909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 WANN DR NW STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589545",
            "telephone_number": "256-963-9444",
            "fax_number": "256-963-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 WANN DR NW STE A",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589545",
            "telephone_number": "256-963-9444",
            "fax_number": "256-963-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENGESHA",
        "first_name": "THEODROS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "28347",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "28347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.