Active NPI
Ermias Ghebreyesus
- Certified Registered Nurse Anesthetist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 95000510
- Practice address
- 408 E 92ND St Apt 10D
New York, NY 10128-8102 - Phone
- (347) 738-0318
- NPI assigned
- Jan 13, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 599579-1 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | 95000510 | CA | Primary |
Addresses
Primary practice location
408 E 92ND St Apt 10D
New York, NY 10128-8102
Mailing address
408 E 92ND St Apt 10D
New York, NY 10128-8102
Phone (347) 738-0318
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Hospital Pkwy
San Jose, CA 95119-1103
Phone (408) 972-3000
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.7 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 599579-1 | NY | MD | Registered Nurse |
| 95000510 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Services of San Joaquin, P.C. | Current | Accepting new patients | |
| Valley Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Regional Anesthesia Associates Inc | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Cep America - Anesthesia, PC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Past | Accepting new patients |
Locations (25 of 46)
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
6125 N Fresno St
Fresno, CA 93710
Phone (559) 285-9344
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
1843 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 323-6611
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
1630 E Herndon Ave
Ste 100
Fresno, CA 93720
Phone (559) 449-2888
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
1660 W 3rd St
Los Angeles, CA 90017
Phone (213) 201-0850
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180
609 E Orangeburg Ave
Bldg B
Modesto, CA 95350
Phone (209) 527-6700
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1300 Mable Ave
#1
Modesto, CA 95355
Phone (209) 571-1633
1300 Mable Ave
Ste 1
Modesto, CA 95355
Phone (209) 571-1633
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000
Organizations & group practices 13
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Anesthesiology Physician
- French Camp, CA
- NPI 1366778227
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
- Anesthesiology Physician
- Fresno, CA
- NPI 1578272415
-
- Anesthesiology Physician
- Redding, CA
- NPI 1013561851
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1003329491
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1841373800
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1811442874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1487010997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 E 92ND ST APT 10D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101288102",
"telephone_number": "347-738-0318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 E 92ND ST APT 10D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101288102",
"telephone_number": "347-738-0318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHEBREYESUS",
"first_name": "ERMIAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-13",
"last_updated": "2022-02-11",
"certification_date": "2021-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "599579-1",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "95000510",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "250 Hospital Pkwy",
"city": "San Jose",
"state": "CA",
"country_code": "US",
"postal_code": "95119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.