Tinsae Demissie, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

S0656 Issued in TX

Practice address

101 Nicolls Rd
Department of Anesthesiology, Stony Brook Medicine
Stony Brook, NY 11794-8480

Phone

(631) 444-2968

NPI assigned

May 13, 2015

Last updated

Jan 29, 2020By 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

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

Anesthesiology

Education

Georgetown University School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texans Anesthesia Associates PLLCGroup PAC ID 8820171390, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Texas Orthopedic Hospital Hospital, Houston, TX, CCN 450804

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Texans Anesthesia Associates PLLC

  dba Pain Relief Associates

  • Anesthesiology Physician
  • Webster, TX
  • NPI 1275733982
  Medicare reassignment Care Compare group NPD

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

• Orthopedic Hospital LTD

  dba Texas Orthopedic Hospital

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1134166192
  Care Compare affiliation

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1396123006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 S GESSNER ROAD",
            "address_2": "SUITE #200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632035",
            "telephone_number": "713-559-6929",
            "fax_number": "888-371-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NICOLLS RD",
            "address_2": "DEPARTMENT OF ANESTHESIOLOGY, STONY BROOK MEDICINE",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948480",
            "telephone_number": "631-444-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMISSIE",
        "first_name": "TINSAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "S0656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Delpozzo-Richards
• Benjamin Charles Delucia, M.D.
• Daniel Vincent Anthony Demarco, PA-C
• Dominick Demarco, PT, DPT
• Demetrius C Zodiatis,MD.PC.
• Thomas Demundo, PHARM.D.
• Ryan Denis
• Paula Irina Denoya, MD
• Jonathan Herbert Derlath, DMD
• Karen Dermer, DO

• Anesthesiology Physician in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.