DR. MELAKU T BIRHANIE M.D
NPI 1134411879
Hospitalist in Oceanside, CA
About Dr. Melaku T Birhanie M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MELAKU T BIRHANIE M.D (NPI 1134411879) is an individual hospitalist provider in Oceanside, California, licensed in California (A122966) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2005).
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
Dr. Melaku T Birhanie M.d 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 Reassignments
8Medicare enrollment records show Melaku Birhanie reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Oceanside, CA 92057
- Reassigned Medicare billing, California enrollment
- 6 clinicians in this Medicare group
Encinitas, CA 92024
- Reassigned Medicare billing, California enrollment
- 1,598 clinicians in this Medicare group
Temecula, CA 92592
- Reassigned Medicare billing, California enrollment
- 90 clinicians in this Medicare group
San Diego, CA 92111
- Reassigned Medicare billing, California enrollment
- 1,233 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 1,437 clinicians in this Medicare group
San Bernardino, CA 92404
- Reassigned Medicare billing, California enrollment
- 1,216 clinicians in this Medicare group
West Hollywood, CA 90048
- Reassigned Medicare billing, California enrollment
- 175 clinicians in this Medicare group
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 914 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.
Areas of Expertise CMS Part B claims 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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.
OCEANSIDE, CA 92056
OCEANSIDE, CA 92056
OCEANSIDE, CA 92056
OCEANSIDE, CA 92056
OCEANSIDE, CA 92056
OCEANSIDE, CA 92056
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 Melaku Birhanie's NPI number?
The NPI number for Melaku Birhanie is 1134411879. It was assigned to this individual provider in the NPPES registry on May 13, 2011.
Where is Melaku Birhanie located?
Melaku Birhanie practices at 4002 Vista Way, Oceanside, CA 92056. The listed phone number is (760) 966-2499.
What is Melaku Birhanie's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Melaku Birhanie enrolled in Medicare?
Yes. Melaku Birhanie 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 organizations bill Medicare for Melaku Birhanie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melaku Birhanie reassigns Medicare benefits to 8 organizations: Yomiyyu Gammada MD A Professional Medical Corporation (Oceanside, CA), Scripps Health (Encinitas, CA), Temecula Valley Hospitalist Medical Group, Inc. (Temecula, CA), Sharp Rees-Stealy Medical Group, Inc (San Diego, CA), Emergency And Acute Care Medical Corporation (San Diego, CA) and 3 more organizations, listed in the Medicare section above. Each 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 Melaku Birhanie'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 Melaku Birhanie was last updated on January 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. Melaku T Birhanie, M.D · NPI 1134411879
Hospitalist physician in Oceanside, California. Individual provider, active in the CMS NPPES registry since May 13, 2011.
## Identity
- **NPI:** 1134411879 (Entity type: Individual)
- **Enumerated:** May 13, 2011
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** A122966 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4002 VISTA WAY, Oceanside, CA 92056-4506
- **Phone:** (760) 966-2499
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Yomiyyu Gammada MD A Professional Medical Corporation (NPI 1487444741, Oceanside, CA); Scripps Health (NPI 1700829199, Encinitas, CA); Temecula Valley Hospitalist Medical Group, Inc. (NPI 1265874135, Temecula, CA); Sharp Rees-Stealy Medical Group, Inc (NPI 1285616177, San Diego, CA); Emergency And Acute Care Medical Corporation (NPI 1437103942, San Diego, CA); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** January 29, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1134411879) · Data from the CMS NPPES public registry.