Active NPI
Nebiyu Abiy Eshetu, M.D.
- Hospitalist Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 2021011710
- Practice address
- 1124 Mace Ave
Baltimore, MD 21221-3315 - Phone
- (410) 391-6996
- Fax
- (410) 687-6877
- NPI assigned
- Apr 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD460824 | PA | |
| Internal Medicine Physician | 207R00000X | D0084914 | MD | |
| Hospitalist Physician | 208M00000X | 2021011710 | MO | Primary |
Addresses
Primary practice location
1124 Mace Ave
Baltimore, MD 21221-3315
Mailing address
1124 Mace Ave
Baltimore, MD 21221-3315
Phone (410) 391-6996
Other practice location 1
1001 S George St Fl 4
York, PA 17403-3676
Phone (717) 851-4005
Other practice location 2
1001 S George St Fl 4
York, PA 17403-3676
Phone (717) 851-4005
Other names 1
- Nebiyu Abiy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0084914 | MD | MD | Internal Medicine Physician |
| MD460824 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Internal Medicine | Current | Accepting new patients |
| P&C Healthcare LLC | Internal Medicine | Current | Accepting new patients |
| SSM Health Care Group | Current | Accepting new patients | |
| P & C Consultant Services | Hospitalist | Past | Accepting new patients |
| SSM-Sluh Inc | Past | Accepting new patients |
Locations
19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
Interoperability endpoints
- neshetu498403@direct-ehr-ssmhc.com
- https://fhir4.healow.com/fhir/r4/DHAEDD
Organizations & group practices 5
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.
-
dba SLUCare Physician Group
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
dba SLUCare Physician Group
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
dba SSM Health Saint Louis University Hospital
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health Saint Louis University Hospital
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1407275357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 MACE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212213315",
"telephone_number": "410-391-6996",
"fax_number": "410-687-6877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 MACE AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212213315",
"telephone_number": "410-391-6996",
"fax_number": "410-687-6877"
}
],
"practiceLocations": [
{
"address_1": "1001 S George St Fl 4",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174033676",
"country_code": "US",
"telephone_number": "717-851-4005",
"fax_number": "717-812-2495",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 S George St Fl 4",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174033676",
"country_code": "US",
"telephone_number": "717-851-4005",
"fax_number": "717-812-2495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESHETU",
"first_name": "NEBIYU",
"middle_name": "ABIY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-08",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD460824",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0084914",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MO",
"license": "2021011710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NEBIYU",
"last_name": "ABIY",
"code": "5",
"type": "Other Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.