Active NPI
Degian Ghebermicael, MD
- Hospitalist Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- T821
- Practice address
- 6201 Harry Hines Blvd
Dallas, TX 75390-3018 - Phone
- (214) 633-5555
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | CDS.057967-MD | LA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Hospitalist Physician | 208M00000X | T821 | TX | Primary |
Addresses
Primary practice location
6201 Harry Hines Blvd
Dallas, TX 75390-3018
Mailing address
PO Box 845347
Dallas, TX 75284-7208
Other practice location 1
2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000
Other practice location 2
1415 Tulane Ave
New Orleans, LA 70112-2600
Phone (504) 988-7809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Southwestern Medical School at Dallas, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2700 Napoleon Ave
New Orleans, LA 70115-6914
Phone (504) 899-9311
6201 Harry Hines Blvd
Dallas, TX 75235-5202
Phone (214) 633-5555
Hospital & facility affiliations
- Ut of Texas Southwestern University Hospital - William P. Clements Jr.
- Slidell Memorial Hospital
- Ochsner Medical Center-Kenner
- Texas Health Hospital Frisco
- Ochsner Medical Center-Hancock
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.21 of 100
- Quality
- 64.85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDS.057967-MD | LA | MD | Internal Medicine Physician |
| T821 | TX | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Single Specialty | Current | Accepting new patients |
| Rapid Urgent Care, Inc. | Single Specialty | Current | Accepting new patients |
| Rapid Urgent Care, Inc | Single Specialty | Current | Accepting new patients |
| Mayfair Physician Services, LLC | Single Specialty | Current | Accepting new patients |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Belle Chasse Physician Services LLC | Single Specialty | Current | Accepting new patients |
| Rapid Urgent Care, Inc. | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Internal Medicine | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Single Specialty | Past | Accepting new patients |
Locations
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
1111 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 249-5600
2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650
100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131
2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
3621 22nd St
Ste 400
Lubbock, TX 79410
Phone (806) 791-8484
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
Single Specialty
-
- Hospitalist Physician
- Terrytown, LA
- NPI 1245653237
Single Specialty
-
- Hospitalist Physician
- Baton Rouge, LA
- NPI 1831688365
Single Specialty
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1235384199
-
- Urgent Care Clinic/Center
- Albany, LA
- NPI 1467085530
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
Single Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frisco, TX
- NPI 1104381292
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1285798918
-
- General Acute Care Hospital
- Bay Saint Louis, MS
- NPI 1588629968
-
- General Acute Care Hospital
- Kenner, LA
- NPI 1710097936
-
- General Acute Care Hospital
- Slidell, LA
- NPI 1578568481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1780144642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753903018",
"telephone_number": "214-633-5555"
}
],
"practiceLocations": [
{
"address_1": "2000 Canal St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701123018",
"country_code": "US",
"telephone_number": "504-702-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1415 Tulane Ave",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701122600",
"country_code": "US",
"telephone_number": "504-988-7809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHEBERMICAEL",
"first_name": "DEGIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-25",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "LA",
"license": "CDS.057967-MD",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "T821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.