Eyerusalem Engida Bayssa, M.D

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

R2053 Issued in TX

Practice address

3800 Gaylord Pkwy Ste 910
Frisco, TX 75034-9419

Phone

(214) 358-2300

Fax

(972) 685-4881

NPI assigned

Jun 14, 2011

Last updated

May 9, 2024By the provider in NPPES

Sex

Female

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 1

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

Nephrology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dallas Nephrology AssociatesGroup PAC ID 3870403819, 156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FMC Frisco Dialysis facility, Frisco, TX, CCN 672838
• FKC Willow Bend Dialysis facility, Plano, TX, CCN 742540
• Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
• Texas Health Hospital Frisco Hospital, Frisco, TX, CCN 670260
• Baylor Scott and White Medical Center Frisco at PG Hospital, Frisco, TX, CCN 670346

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ebayssa52268@direct.acumenmd.com
• Direct secure messaging: eyerusalembayssa@dneph.allscriptsdirect.net
• FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Dallas Nephrology Associates

  • Nephrology Physician
  • Dallas, TX
  • NPI 1861440109
  Medicare reassignment Care Compare group NPD
• Dallas Nephrology Associates

  dba Dallas Nephrology Associates Vascular Center Dallas

  • Ambulatory Surgical Clinic/Center
  • Dallas, TX
  • NPI 1053634030
  NPD

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

• Bio-Medical Applications of Texas, Inc.

  dba Fresenius Medical Care Frisco

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Frisco, TX
  • NPI 1013382746

  Dialysis facility

  Care Compare affiliation Name & address match
• Fresenius Medical Care Willow Bend, LLC

  dba Fresenius Kidney Care Willow Bend

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Plano, TX
  • NPI 1407325905

  Dialysis facility

  Care Compare affiliation Name & address match
• Baylor Scott & White Medical Centers - Greater North Texas

  dba Baylor Scott & White Medical Center - Frisco at PGA Parkway

  • General Acute Care Hospital
  • Frisco, TX
  • NPI 1851108765
  Care Compare affiliation
• Texas Health Hospital Frisco

  • General Acute Care Hospital
  • Frisco, TX
  • NPI 1104381292
  Care Compare affiliation
• Texas Health Presbyterian Hospital Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1770514077
  Care Compare affiliation

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1376838771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 LBJ FWY STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752346065",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 910",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349419",
            "telephone_number": "214-358-2300",
            "fax_number": "972-685-4881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4701 Old Shepard Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935295",
            "country_code": "US",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4510 Medical Center Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750691602",
            "country_code": "US",
            "telephone_number": "214-358-2300",
            "fax_number": "214-579-6995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAYSSA",
        "first_name": "EYERUSALEM",
        "middle_name": "ENGIDA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "R2053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "R2053",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baylor Scott & White Medical Center - Centennial
• Baylor Scott & White Medical Centers - Greater North Texas
• Baylor Scott & White Medical Centers - Greater North Texas (Baylor Scott & White Medical Center - Frisco at PGA Parkway)
• Baylor Surgicare at Blue Star, LLC
• Bria Baymon
• Connor Dawson Baze, PA-C
• Regine Bazil
• Be Heard Therapy
• Be. Women's Health and Wellness, P.L.L.C.
• Loritta Beacham, LCSW

• Nephrology Physician in Frisco, TX
• Providers in Frisco, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.