Individual provider Active NPI

Engida B Alemu, MD

  • Specialist
  • Yuma, AZ
National Provider Identifier
1710916705
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
37473 Issued in AZ
Practice address
2281 W 24TH St
Suite 11
Yuma, AZ 85364
Phone
(928) 314-3201
Fax
(928) 314-3202
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 37473 AZ Primary

Addresses

Primary practice location

2281 W 24TH St
Suite 11
Yuma, AZ 85364

Mailing address

2281 W 24TH St
Suite 11
Yuma, AZ 85364
Phone (928) 314-3201

Other identifiers 1

IdentifierTypeStateIssuer
274858MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080218000138 AZ Practitioner - Infectious DiseasePractitioner - Internal Medicine 2961585732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2281 W 24TH St
Suite 11
Yuma, AZ 85364-6197
Phone (928) 314-3201

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Yuma, AZ, CCN 037192
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
93.88
Promoting interoperability
0
Improvement activities
40
Cost
81.18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Infectious Diseases Center PLC CurrentSince Dec 1, 2007 Accepting new patients

Locations

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2281 W 24th St
Ste 11
Yuma, AZ 85364
Phone (928) 314-3201

Organizations & group practices 1

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406505600000",
    "number": "1710916705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 W 24TH ST",
            "address_2": "SUITE 11",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-314-3201",
            "fax_number": "928-314-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 W 24TH ST",
            "address_2": "SUITE 11",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85364",
            "telephone_number": "928-314-3201",
            "fax_number": "928-314-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEMU",
        "first_name": "ENGIDA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2014-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "37473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274858",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.