BERHANE ADHANOM GEBRESELASIE MD
NPI 1164775433
Internal Medicine in York, PA
About Berhane Adhanom Gebreselasie Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERHANE ADHANOM GEBRESELASIE MD (NPI 1164775433) is an individual internal medicine provider in York, Pennsylvania, licensed in Pennsylvania (MD455139) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS, is affiliated with Penn State Health St. Joseph, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Berhane Adhanom Gebreselasie 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.
Medicare Billing Reassignments
5Medicare enrollment records show Berhane Gebreselasie reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lancaster, PA 17603
- Reassigned Medicare billing, Pennsylvania enrollment
- 994 clinicians in this Medicare group
Reading, PA 19605
- Reassigned Medicare billing, Pennsylvania enrollment
- 251 clinicians in this Medicare group
Clifton Springs, NY 14432
- Reassigned Medicare billing, New York enrollment
- 872 clinicians in this Medicare group
Cooperstown, NY 13326
- Reassigned Medicare billing, New York enrollment
- 1,052 clinicians in this Medicare group
Rochester, NY 14623
- Reassigned Medicare billing, New York enrollment
- 2,285 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 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Penn State Health St. Joseph
Acute Care Hospitals · Reading, PAMilton S Hershey Medical Center
Acute Care Hospitals · Hershey, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17403 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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
YORK, PA 17403
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 Berhane Gebreselasie's NPI number?
The NPI number for Berhane Gebreselasie is 1164775433. It was assigned to this individual provider in the NPPES registry on October 23, 2012.
Where is Berhane Gebreselasie located?
Berhane Gebreselasie practices at 1001 S George St 3rd Floor, York, PA 17403. The listed phone number is (717) 851-4005.
What is Berhane Gebreselasie's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Berhane Gebreselasie enrolled in Medicare?
Yes. Berhane Gebreselasie 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 Berhane Gebreselasie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Berhane Gebreselasie reassigns Medicare benefits to 5 organizations: Penn State Health Medical Group, LLC (Lancaster, PA), St. Joseph Medical Group (Reading, PA), Clifton Springs Sanitarium Co (Clifton Springs, NY), Mary Imogene Bassett Hospital (Cooperstown, NY) and Rochester General Hospital (Rochester, NY). 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 Berhane Gebreselasie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Berhane Gebreselasie affiliated with any hospitals?
According to CMS data, Berhane Gebreselasie is affiliated with Penn State Health St. Joseph and Milton S Hershey Medical Center.
When was this NPI record last updated?
The NPPES record for Berhane Gebreselasie was last updated on February 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Berhane Adhanom Gebreselasie, MD · NPI 1164775433
Internal Medicine physician in York, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 23, 2012.
## Identity
- **NPI:** 1164775433 (Entity type: Individual)
- **Enumerated:** October 23, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD455139 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1001 S GEORGE ST, 3RD FLOOR, York, PA 17403-3676
- **Phone:** (717) 851-4005 · **Fax:** (717) 812-2495
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Penn State Health Medical Group, LLC (NPI 1972032761, Lancaster, PA); St. Joseph Medical Group (NPI 1841680881, Reading, PA); Clifton Springs Sanitarium Co (NPI 1366505463, Clifton Springs, NY); Mary Imogene Bassett Hospital (NPI 1083664221, Cooperstown, NY); Rochester General Hospital (NPI 1174990303, Rochester, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** February 21, 2017
- **Other identifiers:** Medicare PIN P01572186 (PA); Medicare PIN 428579FLT (PA); Medicaid 103043499 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164775433) · Data from the CMS NPPES public registry.