Active NPI
Rediet Haileselassie, MD
- General Practice Physician
- Galveston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- T3476
- Practice address
- 301 University Blvd
Galveston, TX 77555-1250 - Phone
- (409) 744-4030
- Fax
- (409) 740-4187
- NPI assigned
- Jun 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | T3476 | TX | Primary |
| Family Medicine Physician | 207Q00000X | BP10067100 | TX |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-1250
Mailing address
301 University Blvd
Galveston, TX 77555-1250
Phone (409) 744-4030
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
| Wellmed Medical Group, PA | Family Medicine | Current | Accepting new patients |
Locations
3228 Interstate 30
Ste 200
Mesquite, TX 75150
Phone (972) 216-5400
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1437156486
Family Medicine
-
- Health Service Clinic/Center
- Addison, TX
- NPI 1275651002
-
dba WellMed Doctor's Hospital Senior Clinic
- Family Medicine Physician
- Corpus Christi, TX
- NPI 1740588243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1710548763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775551250",
"telephone_number": "409-744-4030",
"fax_number": "409-740-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775551250",
"telephone_number": "409-744-4030",
"fax_number": "409-740-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAILESELASSIE",
"first_name": "REDIET",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-20",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "TX",
"license": "T3476",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP10067100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.