Jeremiah Sisay, PHARMD, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R1649 Issued in TX

Practice address

2698 N Galloway Ave Ste 101
Mesquite, TX 75150

Phone

(972) 288-1662

NPI assigned

Feb 22, 2012

Sex

Male

Sole proprietor

Yes

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 TX

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

Specialty

Internal Medicine

Education

University of Kansas School of Med (KC/Wich/Sal), 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jeremiah Sisay Pharmd MD PLLCGroup PAC ID 1557695608, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heavenly Host Home Health Home health agency, Mesquite, TX, CCN 679778
• Dallas Regional Medical Center Hospital, Mesquite, TX, CCN 450688

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Jeremiah Sisay, Pharmd, MD, PLLC

  • Internal Medicine Physician
  • Mesquite, TX
  • NPI 1497217145
  Medicare reassignment Care Compare group NPD Authorized official
• Apogee Medical Group Texas PA

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1558318071

  TX

  Medicare reassignment NPD

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

• Heavenly Host Inc

  • Home Health Agency
  • Mesquite, TX
  • NPI 1093738379
  Care Compare affiliation
• Prime Healthcare Services Mesquite LLC

  • General Acute Care Hospital
  • Mesquite, TX
  • NPI 1790174860
  Care Compare affiliation

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1194098111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2698 N GALLOWAY AVE STE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506384",
            "telephone_number": "940-442-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2698 N GALLOWAY AVE STE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "75150",
            "telephone_number": "972-288-1662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2698 N Galloway Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "75150",
            "country_code": "US",
            "telephone_number": "972-288-1662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISAY",
        "first_name": "JEREMIAH",
        "credential": "PHARMD, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-22",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-13931",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R1649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Snigdha Singh, DDS
• Atul Kumar Singhal, M.D. FACR
• Braden Wade Singleton, OTD, OTR
• Nicole Sabrina Singleton
• Dennis Siriba, RN, BSN
• Charles Sizemore, DPT
• Lisa Slaughter, L.P.C.
• Sleep Apnea Solutions LLC
• Sleep Trends Diagnostic Centers LLC
• Paul J Smelter, M.D.

• Internal Medicine Physician in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.