Individual provider Active NPI

Metasebya Tesema

  • Transportation Broker
  • Denver, CO
National Provider Identifier
1831729813
Registry record updated Jan 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Practice address
20631 E 48TH PL
Denver, CO 80249-7480
Phone
(720) 789-3639
NPI assigned
Jan 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

20631 E 48TH PL
Denver, CO 80249-7480

Mailing address

20631 E 48TH PL
Denver, CO 80249-7480
Phone (720) 789-3639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alert Agency LLC CurrentSince Jan 28, 2024 Accepting new patients
Alert Ride LLC CurrentSince Apr 9, 2023 Accepting new patients

Organizations & group practices 2

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": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579305600000",
    "number": "1831729813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20631 E 48TH PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497480",
            "telephone_number": "720-789-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20631 E 48TH PL",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802497480",
            "telephone_number": "720-789-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESEMA",
        "first_name": "METASEBYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-18",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.