Individual provider Active NPI

Naomi Gebrelul, MD

  • Pediatrics Physician
  • Cedar Hill, TX
National Provider Identifier
1497174403
Registry record updated Jul 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
R2596 Issued in TX
Practice address
294 Uptown Blvd Ste 120
Cedar Hill, TX 75104-3537
Phone
(972) 293-6300
NPI assigned
Apr 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X R2596 TX Primary

Addresses

Primary practice location

294 Uptown Blvd Ste 120
Cedar Hill, TX 75104-3537

Mailing address

294 Uptown Blvd Ste 120
Cedar Hill, TX 75104-3537

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R2596TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Children Past Accepting new patients
Martin Luther King Jr Family Clinic Past Accepting new patients
Topcare Medical Group Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: naomi.gebrelul.1@17390.direct.athenahealth.com

Organizations & group practices 3

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.

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": "1499817600000",
    "number": "1497174403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 UPTOWN BLVD STE 120",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 UPTOWN BLVD STE 120",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043537",
            "telephone_number": "972-293-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBRELUL",
        "first_name": "NAOMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R2596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.