Individual provider Active NPI

Ismaela Tezera Teferi, M.D.

  • Internal Medicine Physician
  • Jamaica, NY
National Provider Identifier
1194103820
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD468637 Issued in PA
Practice address
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone
(718) 206-6777
Fax
(718) 206-6651
NPI assigned
May 14, 2015
Last updated
Oct 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD468637 PA Primary
Hepatology Physician 207RI0008X MD468637 PA

Addresses

Primary practice location

8900 Van Wyck Expy
Jamaica, NY 11418-2832

Mailing address

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6777

Other practice location 1

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 231-8772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191217000292 PA Practitioner - Internal Medicine 9234563776 Reassigns benefits to 1 organization
I20200617003490 TN Practitioner - Internal MedicinePractitioner - Hospitalist 9234563776 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospital Medicine Services of TN LLCGroup PAC ID 2365807633, 266 clinicians

Practice addresses (Care Compare)

2300 Patterson St
Nashville, TN 37203-1538
Phone (615) 342-1000

5655 1St Blvd
Hermitage, TN 37076-2053
Phone (615) 316-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD468637PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince Nov 22, 2019 Accepting new patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
West Tennessee Healthcare Hospitalists Inc CurrentSince Apr 1, 2020 Accepting new patients
Hospital Medicine Services of TN, LLC CurrentSince Apr 1, 2023 Accepting new patients
Prime Healthcare Services-Providence, LLC Past Accepting new patients

Locations

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

5655 Frist Blvd
Hermitage, TN 37076
Phone (615) 316-3541

620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923

2300 Patterson St
#M
Nashville, TN 37203

300 20th Ave N
Fl 9
Nashville, TN 37203

391 Wallace Rd
Nashville, TN 37211
Phone (615) 332-6253

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1431561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1194103820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182832",
            "telephone_number": "718-206-6777",
            "fax_number": "718-206-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPY",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114182832",
            "telephone_number": "718-206-6777",
            "fax_number": "718-206-6651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 Londonderry Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171095317",
            "country_code": "US",
            "telephone_number": "717-231-8772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEFERI",
        "first_name": "ISMAELA",
        "middle_name": "TEZERA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-14",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD468637",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "PA",
            "license": "MD468637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.