Active NPI
Daniel Fekadu Ameha
- Driver
- Phoenix, AZ
National Provider Identifier
1548078488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- D06823827
- Practice address
- 3606 E Van Buren St Apt 255
Phoenix, AZ 85008-6986 - Phone
- (602) 596-9095
- NPI assigned
- Dec 24, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | D06823827 | AZ | Primary |
Addresses
Primary practice location
3606 E Van Buren St Apt 255
Phoenix, AZ 85008-6986
Mailing address
3606 E Van Buren St Apt 255
Phoenix, AZ 85008-6986
Phone (602) 596-9095
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D06823827 | AZ | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734998400000",
"number": "1548078488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3606 E VAN BUREN ST APT 255",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086986",
"telephone_number": "602-596-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3606 E VAN BUREN ST APT 255",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086986",
"telephone_number": "602-596-9095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMEHA",
"first_name": "DANIEL",
"middle_name": "FEKADU",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-24",
"last_updated": "2024-12-24",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "AZ",
"license": "D06823827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.