Martha Alemayehu, D.O.
Individual provider Active NPI Family Medicine Physician · Peoria, AZ
NPI 1922459700 · NPPES record last updated Aug 25, 2024
Key facts
- NPI
- 1922459700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 008160 (AZ)
- Practice address
- 13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846 - Phone
- (623) 285-0306
- NPI assigned
- Jun 23, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Banner Primary Care Physicians Arizona LLC
Practice addresses (Care Compare)
13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 876-3800
Hospital & facility affiliations
- Banner Home Care-Arizona
- Community First Home Health Care, LLC
- Yuma Regional Medical Center
- Banner del E. Webb Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200930001991 | AZ | Practitioner - Family Practice | 8628364619 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008160 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Up2Par PLLC | Internal Medicine | Current |
Accepting new patients |
| Banner Primary Care Physicians Arizona LLC | Current |
Accepting new patients | |
| Banner Primary Care Physicians Arizona LLC | Current | Accepting new patients | |
| Banner Primary Care Physicians Arizona LLC | Current |
Accepting new patients | |
| Banner Primary Care Physicians Arizona LLC | Past | Accepting new patients |
Locations
13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800
11463 S Foothills Blvd
Yuma, AZ 85367
Phone (928) 955-0189
2775 S 8th Ave
Yuma, AZ 85364
Phone (928) 341-0700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 008160 | AZ | Yes |
Addresses
Primary practice location
13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Mailing address
13640 N Plaza del Rio Blvd
Peoria, AZ 85381-4846
Phone (623) 285-0306
Other practice location 1
2775 S 8th Ave
Yuma, AZ 85364-7110
Phone (928) 341-0700
Other practice location 2
2400 S Avenue A
Yuma, AZ 85364-7127
Phone (928) 336-1290
Other providers in Peoria, AZ
- Melinda L. Alba
- Ashley Ann Albert
- Albertsons LLC
- Albertsons LLC
- Janene Kathryn Alcantar
- Jeffrey Scott Alexander
- Karen Michelle Alexander
- Robyn L Alfeche
- Kierra Lynn Alford
- Noor A Ali
All providers in Peoria, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.