Active NPI
Mezgebe Berhe, MD
- Infectious Disease Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- M1510
- Practice address
- 3409 Worth St
710
Dallas, TX 75246-2029 - Phone
- (214) 823-2533
- Fax
- (214) 824-8679
- NPI assigned
- Apr 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | M1510 | TX | |
| Infectious Disease Physician | 207RI0200X | M1510 | TX | Primary |
Addresses
Primary practice location
3409 Worth St
710
Dallas, TX 75246-2029
Mailing address
3409 Worth St
710
Dallas, TX 75246-2029
Phone (214) 823-2533
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177738501 | Medicaid | TX | |
| 1143000 | Other | TX | AETNA |
| M1510 | Other | TX | STATE LICENSE |
| 8J3801 | Other | TX | BLUE CROSS BLUE SHIELD |
| MD1510 | Other | TX | WORKERS COMP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3409 Worth St
Suite 710
Dallas, TX 75246-2060
Phone (214) 823-2533
Hospital & facility affiliations
- Baylor University Medical Center
- Baylor Scott & White Heart & Vascular Hospital - Dallas
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Texas Infectious Diseases Consultants | Specialist | Current | Accepting new patients |
| North Texas Infectious Disaeases Consultants, PA | Specialist | Current | Accepting new patients |
| Resource Center of Dallas | Infectious Disease | Current | Accepting new patients |
| North Texas Infusion and Specialty Pharmacy, L.L.C. | Past | Accepting new patients |
Locations
2701 Reagan St
#H
Dallas, TX 75219
Phone (214) 540-4492
3409 Worth St
Ste 710
Dallas, TX 75246
Phone (214) 823-2533
5750 Cedar Springs Rd
Dallas, TX 75235
Phone (214) 393-3640
2603 Inwood Rd
Dallas, TX 75235
Phone (214) 353-7610
Interoperability endpoints
- mberhe@direct.uspi.com
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60208
- mezgebe.berhe@ntidc.directbygreenway.com
Organizations & group practices 4
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.
-
- Specialist
- Dallas, TX
- NPI 1891751749
-
- Infectious Disease Physician
- Dallas, TX
- NPI 1558981258
-
- Specialist
- Dallas, TX
- NPI 1932296191
-
- Home Infusion Therapy Pharmacy
- Dallas, TX
- NPI 1497878722
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1609855139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697068800000",
"number": "1831155787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3409 WORTH ST",
"address_2": "710",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462029",
"telephone_number": "214-823-2533",
"fax_number": "214-824-8679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3409 WORTH ST",
"address_2": "710",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462029",
"telephone_number": "214-823-2533",
"fax_number": "214-824-8679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERHE",
"first_name": "MEZGEBE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2023-10-12",
"certification_date": "2023-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "M1510",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "TX",
"license": "M1510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177738501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1143000",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "M1510",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8J3801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "MD1510",
"state": "TX"
}
],
"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 Oct 12, 2023; 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.