Individual provider Active NPI

Desalegn Nega, M.D.

  • Pediatrics Physician
  • Beeville, TX
National Provider Identifier
1508803628
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M2233 Issued in TX
Practice address
1600 E Houston St
Suite a
Beeville, TX 78102-5313
Phone
(361) 358-0034
Fax
(361) 362-1717
NPI assigned
May 31, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 M2233 TX Primary

Addresses

Primary practice location

1600 E Houston St
Suite a
Beeville, TX 78102-5313

Mailing address

1600 E Houston St
Suite a
Beeville, TX 78102-5313
Phone (361) 358-0034

Other identifiers 2

IdentifierTypeStateIssuer
1779720MedicaidTX
095059402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120718000791 DC Practitioner - Pediatric Medicine 4880614809 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital CurrentSince May 26, 2012 Accepting new patients
Children's Hospital Pediatrics CurrentSince May 26, 2012 Accepting new patients
Children's Hospital Current Accepting new patients
Family Practice and Specialty Associates of Beeville PLLC Pediatrics Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508803628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E HOUSTON ST",
            "address_2": "SUITE A",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025313",
            "telephone_number": "361-358-0034",
            "fax_number": "361-362-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E HOUSTON ST",
            "address_2": "SUITE A",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025313",
            "telephone_number": "361-358-0034",
            "fax_number": "361-362-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGA",
        "first_name": "DESALEGN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M2233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1779720",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095059402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

Verify at the official NPI Registry.