Active NPI
Ethiopia Gebeyehu, M.D.
- Internal Medicine Physician
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25037
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 382672 | Medicaid | AZ |
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
Enrollment records 1
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
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
- Honorhealth Deer Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Summit Medical Group Arizona LLC | Family Medicine | Current | Accepting new patients |
| Honorhealth Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| Arizona Primary Care Physicians, LLC | Family Medicine | Current | 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
- 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.
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1033523949
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1851336432
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1679876601
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.