Elleni Woldesenbet, M.D.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

L0707 Issued in TX

Practice address

3132 Matlock Rd
Suite #309
Arlington, TX 76015-2910

Phone

(817) 417-0260

Fax

(817) 417-4834

NPI assigned

Apr 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Infectious Disease

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• DFW Home Health Arlington Home health agency, Arlington, TX, CCN 457818
• Texas Health Arlington Memorial Hospital Hospital, Arlington, TX, CCN 450064
• Texas Health Heart & Vascular Hospital Arlington Hospital, Arlington, TX, CCN 670071

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCCBBA
• Direct secure messaging: ewoldesenbet@direct.uspi.com

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.

• Arlington Infectious Disease Associates, PA

  • Infectious Disease Physician
  • Arlington, TX
  • NPI 1083803787
  Medicare reassignment NPD Authorized official
• Tarrant County Infectious Disease Associates

  • Infectious Disease Physician
  • Fort Worth, TX
  • NPI 1225358708
  NPD (past)
• Texas Centers for Infectious Disease Associates PA

  • Infectious Disease Physician
  • Fort Worth, TX
  • NPI 1750332441
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amh Cath Labs LLC

  • Special Hospital
  • Arlington, TX
  • NPI 1407169196
  Care Compare affiliation
• LHCG Cxxxvii, LLC

  • Home Health Agency
  • Arlington, TX
  • NPI 1962048942
  Care Compare affiliation
• Texas Health Arlington Memorial Hospital

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1174533343
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1861459869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 SHADOW WOOD DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760062724",
            "telephone_number": "817-608-0625",
            "fax_number": "817-810-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 MATLOCK RD",
            "address_2": "SUITE #309",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152910",
            "telephone_number": "817-417-0260",
            "fax_number": "817-417-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLDESENBET",
        "first_name": "ELLENI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "L0707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8R0520",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• With Love & Care Home Health Services LLC
• Tammi Evans Witherspoon
• Without Limits Therapy Inc Corporation
• John Brian Witte, DDS
• Andrea Marlene Wofford, LMT
• Rebecca Anne Wolfe, PTA
• Nelly E Wolff, M.D.
• Brent Harold Wolfskill, LPC, LCDC
• Brandon Douglas Womack, DO
• Kathryn Sherburn Womochel, OPA-C

• Infectious Disease Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.

Verify at the official NPI Registry.