NPIMap

Individual provider Active NPI

Ermias Shenkutie Greffie, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1679144976
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD483309 Issued in PA
Practice address
4422 3Rd Ave
Bronx, NY 10457-2545
Phone
(718) 960-6202
NPI assigned
Jul 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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 MD483309 PA Primary

Addresses

Primary practice location

4422 3Rd Ave
Bronx, NY 10457-2545

Mailing address

2265 Hughes Ave Apt 5B
Bronx, NY 10457-1732
Phone (202) 460-2013

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118002731 PA Practitioner - Internal Medicine 6507218245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group of Pennsylvania PCGroup PAC ID 2668437104, 150 clinicians

Practice addresses (Care Compare)

100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 371-2200

Hospital & facility affiliations

  • Penn Highlands Dubois Hospital, Dubois, PA, CCN 390086
  • Penn Highlands Elk Hospital, Saint Marys, PA, CCN 391315
  • Penn Highlands Brookville Hospital, Brookville, PA, CCN 391312
  • Penn Highlands Huntingdon Hospital, Huntingdon, PA, CCN 390056
  • Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147
  • Penn Highlands Dubois Inpatient rehabilitation facility, Dubois, PA, CCN 39T086

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Apogee Medical Group of Pennsylvania PC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Dubois Regional Medical Center Past Accepting new patients
Dubois Regional Medical Center Past Accepting new patients

Locations

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

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 and National Provider Directory roles.

Hospital & facility affiliations 49

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

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1679144976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 HUGHES AVE APT 5B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104571732",
            "telephone_number": "202-460-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 3RD AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572545",
            "telephone_number": "718-960-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREFFIE",
        "first_name": "ERMIAS",
        "middle_name": "SHENKUTIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-07",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD483309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.