MEBRAHTOM TESFAI MD NPI 1023297397

Internal Medicine in Charlotte, NC

NPI 1023297397 Individual Male Years of Experience 25 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About MEBRAHTOM TESFAI

Mebrahtom Tesfai is an internal medicine provider established in Charlotte, North Carolina and his medical specialization is internal medicine with more than 25 years of experience. The NPI number of Mebrahtom Tesfai is 1023297397 and was assigned on November 2007. The practitioner's primary taxonomy code is 207R00000X with license number 2007-01772 (NC). The provider is registered as an individual and his NPI record was last updated 2 years ago.

An internist like Mebrahtom Tesfai Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Mebrahtom Tesfai is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Mebrahtom Tesfai is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Musc Health Lancaster Medical Center and Musc Health Florence Medical Center.

NPI

1023297397

Provider Name MEBRAHTOM TESFAI MD
Provider Location Address2001 VAIL AVE CHARLOTTE, NC 28207
Provider Mailing AddressPO BOX 19305 CHARLOTTE, NC 28219
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1996
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-02-2007
Last Update Date06-19-2019


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.2007-01772
License StateNC
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

MEBRAHTOM TESFAI MD
2001 VAIL AVE
CHARLOTTE, NC
ZIP 28207
Phone: (704) 304-7000

Get Directions


Mailing Address

MEBRAHTOM TESFAI MD
PO BOX 19305
CHARLOTTE, NC
ZIP 28219
Phone:



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID941390751
PECOS Enrollment IDI20180201000450
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 17Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mebrahtom Tesfai is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MUSC HEALTH LANCASTER MEDICAL CENTER800 W MEETING ST
LANCASTER, SC 29720
(803) 286-1481Acute Care Hospitals420036
MUSC HEALTH FLORENCE MEDICAL CENTER805 PAMPLICO HWY BOX 100550
FLORENCE, SC 29505
(843) 674-2500Acute Care Hospitals420091

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine40101SCNo

Taxonomy Description: a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760483267 SANFORD P BENJAMIN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2001 VAIL AVE
CHARLOTTE, NC 28207
(704) 379-5979
1184626806MRS. KELLY L. STAFFORD PA-C
Individual
Physician Assistant2001 VAIL AVE SUITE 200
CHARLOTTE, NC 28207
(704) 323-2000
1437147956 DAVID SALAMA MD
Individual
Anesthesiology2001 VAIL AVE
CHARLOTTE, NC 28207
(704) 379-5956
1750370664 WESLEY ROBINSON MD
Individual
Anesthesiology2001 VAIL AVE
CHARLOTTE, NC 28207
(704) 379-5956
1669461570 PAMELA HANNA MD
Individual
Anesthesiology2001 VAIL AVE
CHARLOTTE, NC 28207
(704) 379-5956
1578552485 THOMAS DOOLITTLE MD
Individual
Anesthesiology2001 VAIL AVE
CHARLOTTE, NC 28207
(704) 379-5956
1801885728 SPURGEON KEITH III MD
Individual
Anesthesiology2001 VAIL AVE
CHARLOTTE, NC 28207
(704) 379-5956
1710976634 BRUCE VOSS MD
Individual
Anesthesiology (Critical Care Medicine)2001 VAIL AVE
CHARLOTTE, NC 28207
(704) 379-5956
1881676872DR. WILLIAM LEWIS GRIFFIN MD
Individual
Orthopaedic Surgery2001 VAIL AVE
CHARLOTTE, NC 28207
(704) 323-2000
1356323257DR. JOHN BOHANNON MASON MD
Individual
Orthopaedic Surgery2001 VAIL AVE
CHARLOTTE, NC 28207
(704) 323-2000
1497737332DR. EDWIN JAMES SEBOLD MD
Individual
Orthopaedic Surgery2001 VAIL AVE
CHARLOTTE, NC 28207
(704) 323-2000
1134101165DR. THOMAS KEITH FEHRING MD
Individual
Orthopaedic Surgery2001 VAIL AVE SUITE 200
CHARLOTTE, NC 28207
(704) 323-2000
1710960802DR. WILLIAM HODGES DAVIS MD
Individual
Orthopaedic Surgery2001 VAIL AVE SUITE 200B
CHARLOTTE, NC 28207
(704) 323-2000
1558344499DR. JEFFREY GEORGE MOKRIS MD
Individual
Orthopaedic Surgery2001 VAIL AVE SUITE 200A
CHARLOTTE, NC 28207
(704) 323-2000
1457334286MR. CHRISTOPHER E KAUFFMAN PA-C
Individual
Physician Assistant2001 VAIL AVE SUITE A
CHARLOTTE, NC 28207
(704) 323-2000
1982687745MS. KATHY RAISBECK CRUMP PA-C
Individual
Physician Assistant2001 VAIL AVE SUITE A
CHARLOTTE, NC 28207
(704) 323-2000
1033192687MR. THOMAS DUANE HASER PA-C
Individual
Physician Assistant2001 VAIL AVE SUITE A
CHARLOTTE, NC 28207
(704) 323-2000
1689657256MR. GREGORY ALAN SANDERS PA-C
Individual
Physician Assistant2001 VAIL AVE SUITE B
CHARLOTTE, NC 28207
(704) 323-2000
1235117920DR. JOHN WESLEY LONGSHORE PHD
Individual
Specialist2001 VAIL AVE
CHARLOTTE, NC 28207
(704) 379-5979
1497734156DR. CARROLL PAYNE JONES III MD
Individual
Orthopaedic Surgery2001 VAIL AVE SUITE 200B
CHARLOTTE, NC 28207
(704) 323-2000

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.