Yebabe Melak Mengesha, MD

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

32769 Issued in AZ

Practice address

19646 N 27TH Ave
Suite 305
Phoenix, AZ 85027-4017

Phone

(480) 556-0446

Fax

(480) 556-0447

NPI assigned

Aug 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: yebabemengesha@ad.allscriptsdirect.net

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.

• Richard Lee Averitte Jr PLLC

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1609291848
  NPD (past)
• Richard Lee Averitte Jr., PLLC

  • Non-Pharmacy Dispensing Site
  • Surprise, AZ
  • NPI 1598112831
  NPD (past)
• Richard Lee Averitte Jr., PLLC

  • Non-Pharmacy Dispensing Site
  • Anthem, AZ
  • NPI 1619428851
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446163200000",
    "number": "1689687410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST",
            "address_2": "SUITE 230",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554107",
            "telephone_number": "480-556-0446",
            "fax_number": "480-556-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19646 N 27TH AVE",
            "address_2": "SUITE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274017",
            "telephone_number": "480-556-0446",
            "fax_number": "480-556-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENGESHA",
        "first_name": "YEBABE",
        "middle_name": "MELAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2015-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "AZ",
            "license": "32769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137317",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank H Meng, DMD
• Gharett Meng, M.D.
• Laurel Mengel
• Ayda Mengesha
• Nolawi M Mengesha, M.D.
• Peter P Menghini, MD
• Segen Mengisteab
• Cholleta Wanjiru Menja, DNP-PMHNP
• Joel K Menja
• Gilberto Andres Sonny Meno-Gutierrez, LPC

• Dermatopathology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dermatopathology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.