Individual provider Active NPI

Beza Assefa

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1942882881
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0100179 Issued in MD
Practice address
Wellstar AMC Internal Medicine Residency Program
303 Parkway Drive NE-B.O.X 430
Atlanta, GA 30312-1212
Phone
(770) 265-4919
NPI assigned
Apr 21, 2021
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0100179 MD Primary

Addresses

Primary practice location

Wellstar AMC Internal Medicine Residency Program
303 Parkway Drive NE-B.O.X 430
Atlanta, GA 30312-1212

Mailing address

Wellstar AMC Internal Medicine Residency Program
303 Parkway Drive NE- B.O.X. 430
Atlanta, GA 30312-1212
Phone (770) 265-4919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20240803000378 MD Practitioner - Internal MedicinePractitioner - Hospitalist 1658773890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdics at BWMC LLCGroup PAC ID 7315106184, 77 clinicians

Practice addresses (Care Compare)

301 Hospital Dr
Glen Burnie, MD 21061-5803
Phone (443) 949-0814

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as group
Quality
81.47
Improvement activities
40
Cost
75.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13063GAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics at BWMC LLC CurrentSince Jun 17, 2024 Accepting new patients
Baltimore Washington Medical Center Inc. Past Accepting new patients

Locations

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

Interoperability endpoints

  • Direct secure messaging: bassefa1167811@direct.umm.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1942882881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WELLSTAR AMC INTERNAL MEDICINE RESIDENCY PROGRAM",
            "address_2": "303 PARKWAY DRIVE NE- B.O.X. 430",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121212",
            "telephone_number": "770-265-4919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WELLSTAR AMC INTERNAL MEDICINE RESIDENCY PROGRAM",
            "address_2": "303 PARKWAY DRIVE NE-B.O.X 430",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121212",
            "telephone_number": "770-265-4919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSEFA",
        "first_name": "BEZA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0100179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.