NPIMap

Organization Active NPI

Alemu Medical Home, PLLC

Doing business as Alemu Medical Home

  • Internal Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1205352366
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALEMU MEDICAL HOME, PLLC
Doing business as
Alemu Medical Home
Practice address
790 Generations Dr Ste 205
New Braunfels, TX 78130-0087
Phone
(830) 351-5066
Fax
(830) 351-5460
NPI assigned
Aug 20, 2017
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Benyam Alemu, MDNPI 1154646560
Title
President
Phone
(830) 351-5066

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

790 Generations Dr Ste 205
New Braunfels, TX 78130-0087

Mailing address

790 Generations Dr Ste 205
New Braunfels, TX 78130-0087
Phone (830) 351-5066

Other practice location 1

702 S Hackberry Ave
Luling, TX 78648-3205
Phone (830) 351-5066

Other names 1

  • Alemu Medical Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171024003520 TX Part B Supplier - Clinic/Group Practice 6901172683 Receives reassigned benefits from 5 practitioners
Practice locations: Luling, TX; New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

790 Generations Dr
Ste 205
New Braunfels, TX 78130
Phone (830) 310-7303

555 Creekside Xing
#206
New Braunfels, TX 78130
Phone (830) 351-5066

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1503187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1205352366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 GENERATIONS DR STE 205",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300087",
            "telephone_number": "830-351-5066",
            "fax_number": "830-351-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 GENERATIONS DR STE 205",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300087",
            "telephone_number": "830-351-5066",
            "fax_number": "830-351-5460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 S Hackberry Ave",
            "address_purpose": "LOCATION",
            "city": "Luling",
            "state": "TX",
            "postal_code": "786483205",
            "country_code": "US",
            "telephone_number": "830-351-5066",
            "fax_number": "830-351-5460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALEMU MEDICAL HOME, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-20",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "ALEMU",
        "authorized_official_first_name": "BENYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-351-5066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alemu Medical Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.