Individual provider Active NPI

Debebe Beyene

  • Non-emergency Medical Transport (VAN)
  • Gahanna, OH
National Provider Identifier
1346780285
Registry record updated Feb 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
300326983 Issued in OH
Practice address
261 W Johnstown Rd
Suite # 212
Gahanna, OH 43230-2796
Phone
(614) 866-6666
NPI assigned
Feb 25, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 300326983 OH Primary

Addresses

Primary practice location

261 W Johnstown Rd
Suite # 212
Gahanna, OH 43230-2796

Mailing address

261 W Johnstown Rd
Suite # 212
Gahanna, OH 43230-2796
Phone (614) 866-6666

Other identifiers 1

IdentifierTypeStateIssuer
0099928MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evercare Home Health Agency LLC Current Accepting new patients
Aarow Express LLC Non-Emergency Medical Transport (Van) Past Accepting new patients

Locations

261 W Johnstown Rd
Ste 212
Gahanna, OH 43230
Phone (614) 428-5555

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487980800000",
    "number": "1346780285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 W JOHNSTOWN RD",
            "address_2": "SUITE # 212",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302796",
            "telephone_number": "614-866-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 W JOHNSTOWN RD",
            "address_2": "SUITE # 212",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302796",
            "telephone_number": "614-866-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYENE",
        "first_name": "DEBEBE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-25",
        "last_updated": "2017-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "300326983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0099928",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.