Active NPI
Sefanit Gebretsadik, M.D
- Internal Medicine Physician
- Frisco, TX
National Provider Identifier
1770825861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- S8560
- Practice address
- 4645 Avon LN Ste 215
Frisco, TX 75033-1614 - Phone
- (903) 990-0001
- NPI assigned
- Mar 26, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 69596 | GA | |
| Internal Medicine Physician | 207R00000X | S8560 | TX | Primary |
| Internal Medicine Physician | 207R00000X | 4301503221 | MI | |
| Internal Medicine Physician | 207R00000X | 35.140750 | OH | |
| Internal Medicine Physician | 207R00000X | M-15420 | ID | |
| Internal Medicine Physician | 207R00000X | 069596 | GA | |
| Internal Medicine Physician | 207R00000X | 37365 | OK |
Addresses
Primary practice location
4645 Avon LN Ste 215
Frisco, TX 75033-1614
Mailing address
190 E Stacy Rd Ste 306139
Allen, TX 75002-8734
Phone (404) 939-3752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069596 | GA | MD | Internal Medicine Physician |
| M-15420 | ID | MD | Internal Medicine Physician |
| 4301503221 | MI | MD | Internal Medicine Physician |
| 37365 | OK | MD | Internal Medicine Physician |
| 69596 | GA | MD | Hospitalist Physician |
Interoperability endpoints
- sefanit.gebretsadik.p2@direct.alegiscare.nextgenshare.com
- sefanit.gebretsadik.p1@direct.alegiscare.nextgenshare.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634688000000",
"number": "1770825861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 E STACY RD STE 306139",
"city": "ALLEN",
"state": "TX",
"postal_code": "750028734",
"telephone_number": "404-939-3752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 AVON LN STE 215",
"city": "FRISCO",
"state": "TX",
"postal_code": "750331614",
"telephone_number": "903-990-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBRETSADIK",
"first_name": "SEFANIT",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-26",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "69596",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "S8560",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301503221",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.140750",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ID",
"license": "M-15420",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "069596",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "37365",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.