Individual provider Active NPI

Ermias A. Gebre, MD

  • Internal Medicine Physician
  • Kingman, AZ
National Provider Identifier
1598899213
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17672 Issued in NV
Practice address
3269 Stockton Hill Rd
Kingman, AZ 86409
Phone
(928) 757-2101
NPI assigned
Mar 15, 2007
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X LL1567 NV
Anesthesiology Physician 207L00000X 17672 NV
Anesthesiology Physician 207L00000X 45442 AZ
Internal Medicine Physician 207R00000X 45442 AZ
Internal Medicine Physician 207R00000X 35.091301 OH
Internal Medicine Physician 207R00000X 17672 NV Primary

Addresses

Primary practice location

3269 Stockton Hill Rd
Kingman, AZ 86409

Mailing address

12032 Aragon Springs Ave
Las Vegas, NV 89138-2008
Phone (023) 010-4587

Other identifiers 3

IdentifierTypeStateIssuer
LL1567OtherNVMEDICAL LICENSE
676098MedicaidAZ
45442OtherAZLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120314000073 AZ Practitioner - Anesthesiology 2466500095 Reassigns benefits to 2 organizations
I20180828002430 NV Practitioner - AnesthesiologyPractitioner - Internal Medicine 2466500095 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Battle Born Anesthesia Associates LTDGroup PAC ID 5193235141, 26 clinicians
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians
Fielden,Hanson,Isaacs,Miyada,Robison,Yeh LTDGroup PAC ID 5799683462, 168 clinicians

Practice addresses (Care Compare)

1800 W Charleston Blvd
Las Vegas, NV 89102-2329
Phone (702) 383-2000

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (917) 903-0010

9127 W Russell Rd
Suite 110
Las Vegas, NV 89148-1253
Phone (702) 878-0700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17672NVMDPharmacist
35.091301OHMDInternal Medicine Physician
LL1567NVMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Rabessler MD PC Internal Medicine CurrentSince Jul 9, 2019 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
University Medical Center of Southern Nevada CurrentSince May 1, 2023 Accepting new patients
Healthcare Partners Medical Group Coats LTD Internal Medicine Current Accepting new patients
University Medical Center of Southern Nevada CurrentSince May 1, 2023 Accepting new patients
Battle Born Anesthesia Associates LTD Anesthesiology CurrentSince Nov 1, 2025 Accepting new patients
Fielden Hanson Isaacs Miyada Robison Yeh LTD Anesthesiology CurrentSince Jul 25, 2018 Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology CurrentSince Feb 2, 2020 Accepting new patients
Kingman Healthcare, Inc CurrentSince Jan 8, 2012 Accepting new patients
Kingman Healthcare, Inc CurrentSince Jan 8, 2012 Accepting new patients
Kingman Healthcare, Inc Internal Medicine Past Accepting new patients
Emcare Physician Providers, Inc Past Accepting new patients

Locations

1739 E Beverly Ave
Ste 116
Kingman, AZ 86409

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Interoperability endpoints

  • Direct secure messaging: egebre97619@direct.umcsn.com
  • Direct secure messaging: gebre.ermias@direct.azkrmc.md

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1598899213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12032 ARAGON SPRINGS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891382008",
            "telephone_number": "023-010-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3269 STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86409",
            "telephone_number": "928-757-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBRE",
        "first_name": "ERMIAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NV",
            "license": "LL1567",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "17672",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AZ",
            "license": "45442",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "45442",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.091301",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "17672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "LL1567",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676098",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "45442",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.