Individual provider Active NPI

Sefanit Gebretsadik, M.D

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1770825861
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
S8560 Issued in TX
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

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210513000564 TX Practitioner - Internal MedicinePractitioner - Hospitalist 3577706944 Reassigns benefits to 1 organization
I20230807000167 VA Practitioner - Internal Medicine 3577706944

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
069596GAMDInternal Medicine Physician
M-15420IDMDInternal Medicine Physician
4301503221MIMDInternal Medicine Physician
37365OKMDInternal Medicine Physician
69596GAMDHospitalist Physician

Interoperability endpoints

  • Direct secure messaging: sefanit.gebretsadik.p2@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: 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

Verify at the official NPI Registry.