Individual provider Active NPI

Degian Ghebermicael, MD

  • Hospitalist Physician
  • Dallas, TX
National Provider Identifier
1780144642
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
T821 Issued in TX
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

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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, TX2 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
I20210928003056 LA Practitioner - Internal Medicine 4284031691 Reassigns benefits to 3 organizations
I20220708000407 TX Practitioner - Hospitalist 4284031691 Reassigns benefits to 1 organization

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
Belle Chasse Physician Services LLCGroup PAC ID 9335379379, 258 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Merit-based Incentive Payment System (MIPS)

Final score
79.21 of 100Reported as group
Quality
64.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CDS.057967-MDLAMDInternal Medicine Physician
T821TXMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Single Specialty Current Accepting new patients
Rapid Urgent Care, Inc. Single Specialty CurrentSince Sep 15, 2021 Accepting new patients
Rapid Urgent Care, Inc Single Specialty Current Accepting new patients
Mayfair Physician Services, LLC Single Specialty CurrentSince Aug 12, 2022 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 1, 2022 Accepting new patients
Belle Chasse Physician Services LLC Single Specialty CurrentSince Aug 12, 2022 Accepting new patients
Rapid Urgent Care, Inc. CurrentSince Sep 15, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Internal Medicine CurrentSince Aug 1, 2022 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.