Dawit Teklehaimanot, D.O.

Primary specialty

SpecialistTaxonomy code 174400000X

License

5101011761 Issued in MI

Practice address

Physical Medicine and Rehabilation and Pain Consultant
17117 West Nine Mile Road Suite 1331
Southfield, MI 48075

Phone

(248) 552-9233

Fax

(248) 552-9244

NPI assigned

Sep 29, 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

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physical Medicine and Rehabilitation

Education

Loma Linda University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sciometrix LLCGroup PAC ID 7618367087, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Insight Hospital and Medical Center Coldwater Hospital, Coldwater, MI, CCN 230022

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dawitteklehaimanot@121408.advancedmd-direct.com

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.

• Physical Medicine& Rehabilitation Consultant and Pain Management,P.C.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Oak Park, MI
  • NPI 1265603013
  Medicare reassignment NPD Authorized official
• Sciometrix LLC

  • General Practice Physician
  • Royal Oak, MI
  • NPI 1619649894
  Medicare reassignment Care Compare group NPD
• Johnsons Dialysis Management LLC

  • Physical Medicine & Rehabilitation Physician
  • Detroit, MI
  • NPI 1912266446
  NPD
• Sciometrix Inc

  • General Practice Physician
  • Staten Island, NY
  • NPI 1457065591
  NPD
• 1St Priority Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Oak Park, MI
  • NPI 1134422363
  NPD (past)
• Abyssinia Love Knot Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Detroit, MI
  • NPI 1255667556
  NPD (past)
• Alexander Malayev MD PC

  • Multi-Specialty Clinic/Center
  • Clawson, MI
  • NPI 1861400095
  NPD (past)
• Elite Wellness LLC

  • Internal Medicine Physician
  • Westland, MI
  • NPI 1174765515
  NPD (past)
• Polyclinic Associates PC

  • Specialist
  • Southfield, MI
  • NPI 1174665988
  NPD (past)

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

• Community Health Center of Branch County

  • General Acute Care Hospital
  • Coldwater, MI
  • NPI 1063471639
  Care Compare affiliation

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689766065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 SILVERLEAF DR",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481977484",
            "telephone_number": "248-552-9233",
            "fax_number": "248-552-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PHYSICAL MEDICINE AND REHABILATION AND PAIN CONSULTANT",
            "address_2": "17117 WEST NINE MILE ROAD SUITE 1331",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-552-9233",
            "fax_number": "248-552-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEKLEHAIMANOT",
        "first_name": "DAWIT",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "5101011761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Southfield, MI
• Providers in Southfield, MI by specialty
• Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.