Individual provider Active NPI

Ethiopia Gebeyehu, M.D.

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1609845908
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25037 Issued in AZ
Practice address
7831 W Deer Valley Rd
Peoria, AZ 85382-2140
Phone
(623) 312-2265
Fax
(623) 312-2266
NPI assigned
Mar 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25037 AZ Primary

Addresses

Primary practice location

7831 W Deer Valley Rd
Peoria, AZ 85382-2140

Mailing address

7831 W Deer Valley Rd
Peoria, AZ 85382-2140
Phone (623) 312-2265

Other identifiers 1

IdentifierTypeStateIssuer
382672MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060606000277 AZ Practitioner - Internal Medicine 7012928195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

21681 N 77TH Ave
Suite 1410
Peoria, AZ 85382-2133
Phone (623) 312-2265

Hospital & facility affiliations

  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Deer Valley Medical Center Hospital, Phoenix, AZ, CCN 030092

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Sep 26, 2022 Accepting new patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Sep 26, 2022 Accepting new patients
Arizona Primary Care Physicians, LLC Family Medicine CurrentSince Apr 1, 2015 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Past Accepting new patients

Locations

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

5620 W Thunderbird Rd
Ste G2
Glendale, AZ 85306
Phone (602) 938-3600

5620 W Thunderbird Rd
Ste B2
Glendale, AZ 85306
Phone (602) 547-9405

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

21681 N 77th Ave
Ste 1410
Peoria, AZ 85382
Phone (623) 312-2265

7831 W Deer Valley Rd
Peoria, AZ 85382
Phone (623) 312-2265

Interoperability endpoints

  • Direct secure messaging: egebeyehu111940@direct.honorhealth.com

Organizations & group practices 6

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.

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1609845908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7831 W DEER VALLEY RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822140",
            "telephone_number": "623-312-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7831 W DEER VALLEY RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822140",
            "telephone_number": "623-312-2265",
            "fax_number": "623-312-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBEYEHU",
        "first_name": "ETHIOPIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "25037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "382672",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.