Active NPI
Gashu H Ayehu, M.D.
- Nephrology Physician
- Philadelphia, PA
National Provider Identifier
1427172006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- MD431669
- Practice address
- 3400 Spruce Street
210 White Building
Philadelphia, PA 19104 - Phone
- (215) 662-3958
- NPI assigned
- Mar 19, 2007
- Last updated
- Nov 22, 2011
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D65303 | MD | |
| Internal Medicine Physician | 207R00000X | 0101240783 | VA | |
| Nephrology Physician | 207RN0300X | MD431669 | PA | Primary |
| Hospitalist Physician | 208M00000X | 0101240783 | VA | |
| Hospitalist Physician | 208M00000X | D65303 | MD | |
| Hospitalist Physician | 208M00000X | LT-2572 | NH |
Addresses
Primary practice location
3400 Spruce Street
210 White Building
Philadelphia, PA 19104
Mailing address
3400 Spruce Street
210 White Building
Philadelphia, PA 19104
Phone (215) 662-3958
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D65303 | MD | MD | Internal Medicine Physician |
| 0101240783 | VA | MD | Internal Medicine Physician |
| MD431669 | PA | MD | Nephrology Physician |
| LT-2572 | NH | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1427172006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRUCE STREET",
"address_2": "210 WHITE BUILDING",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-662-3958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRUCE STREET",
"address_2": "210 WHITE BUILDING",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-662-3958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYEHU",
"first_name": "GASHU",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D65303",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101240783",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD431669",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101240783",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D65303",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NH",
"license": "LT-2572",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.