Hailu Demissachew, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

054072 Issued in GA

Practice address

19 Redmond Rd NW
Rome, GA 30165-1533

Phone

(706) 233-8504

Fax

(706) 233-8505

NPI assigned

Dec 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Nephrology

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fresenius Kidney Care Rome Dialysis facility, Rome, GA, CCN 112888
• Fresenius Kidney Care Seven Hills Dialysis facility, Rome, GA, CCN 112752
• Fresenius Kidney Care Cedartown Dialysis facility, Cedartown, GA, CCN 112792
• Fresenius Kidney Care Chattooga County Dialysis facility, Summerville, GA, CCN 112795
• DaVita Rome Dialysis Dialysis facility, Rome, GA, CCN 112505
• Adventhealth Redmond Hospital, Rome, GA, CCN 110168
• Atrium Health Floyd Medical Center Hospital, Rome, GA, CCN 110054
• Atrium Health Floyd Polk Medical Center Hospital, Cedartown, GA, CCN 111330
• Floyd Cherokee Medical Center Hospital, Centre, AL, CCN 010022
• Redmond Regional Medical Center Inpatient rehabilitation facility, Rome, GA, CCN 11T168

Merit-based Incentive Payment System (MIPS)

Final score

83.23 of 100Reported as group

Quality

65.74

Promoting interoperability

100

Improvement activities

40

Cost

78.37

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hdemissachew913409@carolinashealthcaresystem.direct-ci.com

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.

• Harbin Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Rome, GA
  • NPI 1679599088
  Medicare reassignment Care Compare group NPD
• Harbin Clinic, LLC

  • Ambulatory Surgical Clinic/Center
  • Rome, GA
  • NPI 1447385158
  NPD
• Harbin Clinic, LLC

  • Ambulatory Surgical Clinic/Center
  • Cartersville, GA
  • NPI 1467016055
  NPD
• Rockingham Medical & Kidney Care,PLLC

  • Specialist
  • Reidsville, NC
  • NPI 1023169281

  Nephrology

  NPD (past)
• Strong Renal Group

  • Nephrology Physician
  • Rochester, NY
  • NPI 1881641470
  NPD (past)

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

• Bio-Medical Applications of Georgia, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Summerville, GA
  • NPI 1053823864

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Georgia, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rome, GA
  • NPI 1710499512

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Georgia, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rome, GA
  • NPI 1841777455

  Dialysis facility

  Care Compare affiliation Name & address match
• Bio-Medical Applications of Georgia, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Cedartown, GA
  • NPI 1972015790

  Dialysis facility

  Care Compare affiliation Name & address match
• Dva Healthcare Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rome, GA
  • NPI 1356319560

  Dialysis facility

  Care Compare affiliation Name & address match
• Floyd Healthcare Management Inc

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1154377166
  Care Compare affiliation
• Polk Medical Center, Inc

  • Critical Access Hospital
  • Cedartown, GA
  • NPI 1073927117
  Care Compare affiliation
• Redmond Park Hospital, LLC

  • General Acute Care Hospital
  • Rome, GA
  • NPI 1508810565
  Care Compare affiliation
• Redmond Park Hospital, LLC

  • Rehabilitation Hospital Unit
  • Rome, GA
  • NPI 1548214257

  Inpatient rehabilitation facility

  Care Compare affiliation
• Floyd Cherokee Medical Center LLC

  • General Acute Care Hospital
  • Centre, AL
  • NPI 1962999664
  Care Compare affiliation

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1356401616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "762-235-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651533",
            "telephone_number": "706-233-8504",
            "fax_number": "706-233-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMISSACHEW",
        "first_name": "HAILU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-09",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "GA",
            "license": "054072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413486161A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413486161G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413486161D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413486161E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413486161B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413486161C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413486161F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413486161H",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hailu.demissachew.1@1498.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "19 Redmond Rd NW",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301651533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Luke Alexander Del Balzo, MD
• Cole Edwin Delaino, PTA
• Russell Edwin Delaino, D.C.
• Stephany J Delgado
• Danielle Kristy Dell
• Kyle Dennis, DO
• Sabrina Shonta Dennis
• Joel Michael Dent, PHARMD.
• Department of Behavioral Health and Developmental Disabilities
• Dermatran Health Solutions LLC

• Nephrology Physician in Rome, GA
• Providers in Rome, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.