BERKENESH TESFAYE GEBREKRISTOS
NPI 1083173116
Student in an Organized Health Care Education/Training Program in Oakland, CA
About Berkenesh Tesfaye Gebrekristos NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERKENESH TESFAYE GEBREKRISTOS (NPI 1083173116) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Berkenesh Tesfaye Gebrekristos 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.
Medicare Billing Reassignment
Medicare enrollment records show Berkenesh Gebrekristos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, CA 94801
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
OAKLAND, CA 94611
OAKLAND, CA 94611
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 Berkenesh Gebrekristos's NPI number?
The NPI number for Berkenesh Gebrekristos is 1083173116. It was assigned to this individual provider in the NPPES registry on March 18, 2019.
Where is Berkenesh Gebrekristos located?
Berkenesh Gebrekristos practices at 275 W Macarthur Blvd, Oakland, CA 94611. The listed phone number is (510) 752-6126.
What is Berkenesh Gebrekristos's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Berkenesh Gebrekristos enrolled in Medicare?
Yes. Berkenesh Gebrekristos 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.
Which organization bills Medicare for Berkenesh Gebrekristos's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Berkenesh Gebrekristos reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Berkenesh Gebrekristos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Berkenesh Gebrekristos was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Berkenesh Tesfaye Gebrekristos · NPI 1083173116
Student in an Organized Health Care Education/Training Program provider in Oakland, California. Individual provider, active in the CMS NPPES registry since March 18, 2019.
## Identity
- **NPI:** 1083173116 (Entity type: Individual)
- **Enumerated:** March 18, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 275 W MACARTHUR BLVD, Oakland, CA 94611-5641
- **Phone:** (510) 752-6126
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1235226531, Richmond, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** March 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1083173116) · Data from the CMS NPPES public registry.