Organization Active NPI

Jeremiah Sisay, Pharmd, MD, PLLC

  • Internal Medicine Physician
  • Mesquite, TX
National Provider Identifier
1497217145
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JEREMIAH SISAY, PHARMD, MD, PLLC
Practice address
2698 N Galloway Ave Ste 101
Mesquite, TX 75150-6384
Phone
(972) 288-1662
Fax
(972) 289-3075
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Jeremiah Sisay, MDNPI 1194098111
Title
Owner
Phone
(972) 288-1662

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

2698 N Galloway Ave Ste 101
Mesquite, TX 75150-6384

Mailing address

2698 N Galloway Ave Ste 101
Mesquite, TX 75150-6384
Phone (972) 288-1662

Other names 1

  • Grace and Joy Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190625000583 TX Part B Supplier - Clinic/Group Practice 1557695608 Receives reassigned benefits from 3 practitioners
Practice locations: Mesquite, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2275787Jeremiah Sisay Pharmd, MD, PLLC2698 N Galloway Ave Suite 101, Mesquite, TX 75150Certificate of waiverJan 26, 2027

National Provider Directory

National Provider Directory

Locations

2698 N Galloway Ave
Ste 101
Mesquite, TX 75150
Phone (972) 288-1662

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1497217145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2698 N GALLOWAY AVE STE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506384",
            "telephone_number": "972-288-1662",
            "fax_number": "972-289-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2698 N GALLOWAY AVE STE 101",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506384",
            "telephone_number": "972-288-1662",
            "fax_number": "972-289-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH SISAY, PHARMD, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "SISAY",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-288-1662",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace and Joy Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.

Verify at the official NPI Registry.