LEGESSE MEKONNEN MD
NPI 1023222619
Internal Medicine - Infectious Disease in Phoenix, AZ

Active since May 10, 2007PECOS EnrolledAccepts Medicare Assignment
87.81/100
CMS Quality Rating
9305 W THOMAS RD, SUITE 380, PHOENIX, AZ 85037(623) 327-4144(623) 327-4140 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Legesse Mekonnen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGESSE MEKONNEN MD (NPI 1023222619) is an individual infectious disease provider in Phoenix, Arizona, licensed in Arizona (44627) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1023222619
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameLEGESSE MEKONNENCredential: MD
Location Address9305 W THOMAS RD, SUITE 380Phoenix, AZ 85037-3328
Mailing Address9305 W Thomas Rd, Suite 380Phoenix, AZ 85037-3328 · (623) 327-4144 · Fax (623) 327-4140
Fax(623) 327-4140
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 10, 2007
Last NPPES UpdateDecember 28, 2011
NPI 1023222619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in AZ · 44627
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

9305 W THOMAS RD, Phoenix, AZ 85037

Other Identifiers 1

Medicare PINZ145905AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Legesse Mekonnen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688708803
PECOS Enrollment IDI20110718000331
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,160 services273 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
241 services218 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
144 services99 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
71 services67 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
29 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40
Cost61.22

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Rheumatology)
9305 W THOMAS RD, STE 455
PHOENIX, AZ 85037
Durable Medical Equipment & Medical Supplies
9305 W THOMAS RD, SUITE 465
PHOENIX, AZ 85037
Internal Medicine
9305 W THOMAS RD, #285
PHOENIX, AZ 85037
Occupational Therapist
9305 W THOMAS RD, SUITE 150
PHOENIX, AZ 85037
Internal Medicine (Gastroenterology)
9305 W THOMAS RD, SUITE #255
PHOENIX, AZ 85037
Physical Therapist
9305 W THOMAS RD, SUITE 150
PHOENIX, AZ 85037
Pediatrics
9305 W THOMAS RD, SUITE 450
PHOENIX, AZ 85037
Obstetrics & Gynecology (Obstetrics)
9305 W THOMAS RD, STE 155
PHOENIX, AZ 85037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legesse Mekonnen's NPI number?

The NPI number for Legesse Mekonnen is 1023222619. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Where is Legesse Mekonnen located?

Legesse Mekonnen practices at 9305 W Thomas Rd Suite 380, Phoenix, AZ 85037. The listed phone number is (623) 327-4144.

What is Legesse Mekonnen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Legesse Mekonnen enrolled in Medicare?

Yes. Legesse Mekonnen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Legesse Mekonnen accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Legesse Mekonnen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legesse Mekonnen was last updated on December 28, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.