Individual provider Active NPI

Teklit Gebrelul

  • Non-emergency Medical Transport (VAN)
  • Dallas, TX
National Provider Identifier
1982471231
Registry record updated Dec 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
45213061 Issued in TX
Practice address
8620 Park LN Apt 1018
Dallas, TX 75231-6886
Phone
(214) 862-8253
NPI assigned
Dec 6, 2023
Last updated
Dec 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 45213061 TX Primary

Addresses

Primary practice location

8620 Park LN Apt 1018
Dallas, TX 75231-6886

Mailing address

8620 Park LN Apt 1018
Dallas, TX 75231-6886
Phone (214) 862-8253

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

State licenses

LicenseStateTypeSpecialty
45213061TXMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
Ophir LLC Non-Emergency Medical Transport (Van) CurrentSince Dec 31, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703462400000",
    "number": "1982471231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 PARK LN APT 1018",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752316886",
            "telephone_number": "214-862-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8620 PARK LN APT 1018",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752316886",
            "telephone_number": "214-862-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBRELUL",
        "first_name": "TEKLIT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-25",
        "certification_date": "2023-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "45213061",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 25, 2023; 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.