Active NPI
Rediet Regassa Gebeyehu, MD
- Hematology & Oncology Physician
- Winston Salem, NC
National Provider Identifier
1487069761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 2021-00819
- Practice address
- 1 Medical Center Blvd
Winston Salem, NC 27157-1212 - Phone
- (336) 716-2011
- NPI assigned
- Jun 25, 2014
- Last updated
- Feb 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2021-00819 | NC | |
| Internal Medicine Physician | 207R00000X | 006765 | GA | |
| Internal Medicine Physician | 207R00000X | 078038 | GA | |
| Hematology & Oncology Physician | 207RH0003X | 2021-00819 | NC | Primary |
| Hospitalist Physician | 208M00000X | 078038 | GA |
Addresses
Primary practice location
1 Medical Center Blvd
Winston Salem, NC 27157-1212
Mailing address
1 Medical Center Boulevard
Winston Salem, NC 27157-0001
Phone (336) 716-2011
Other practice location 1
105 N Crutchfield St # 2
Dobson, NC 27017-8804
Phone (888) 789-2922
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rgebeyehu@mtnvalleyhospice.org |
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 |
|---|---|---|---|
| 006765 | GA | MD | Internal Medicine Physician |
Interoperability endpoints
- rediet.gebeyehu.p48@direct.tenet.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1487069761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BOULEVARD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271571212",
"telephone_number": "336-716-2011"
}
],
"practiceLocations": [
{
"address_1": "105 N Crutchfield St # 2",
"address_purpose": "LOCATION",
"city": "Dobson",
"state": "NC",
"postal_code": "270178804",
"country_code": "US",
"telephone_number": "888-789-2922",
"fax_number": "336-789-0856",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEBEYEHU",
"first_name": "REDIET",
"middle_name": "REGASSA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2021-00819",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "006765",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "078038",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "2021-00819",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "078038",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rgebeyehu@mtnvalleyhospice.org",
"affiliation": "N",
"address_1": "105 N Crutchfield St # 2",
"city": "Dobson",
"state": "NC",
"country_code": "US",
"postal_code": "270178804",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.