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DR. TESFAYE DEMISSIE FANTA MD
NPI 1174557128
Internal Medicine in Reidsville, NC

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
910 WEST HARRISON STREET, REIDSVILLE, NC 27320(336) 342-9564(336) 349-9723 Get Directions Write a Review

NPPES record last updated: July 26, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Tesfaye Demissie Fanta Md NPPES

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

DR. TESFAYE DEMISSIE FANTA MD (NPI 1174557128) is an individual internal medicine provider in Reidsville, North Carolina, licensed in North Carolina (9700943) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1174557128
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TESFAYE DEMISSIE FANTACredential: MD
Location Address910 WEST HARRISON STREETReidsville, NC 27320
Mailing Address910 West Harrison StreetReidsville, NC 27320 · (336) 342-9564 · Fax (336) 349-9723
Phone(336) 342-9564
Fax(336) 349-9723
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 10, 2006
Last NPPES UpdateJuly 26, 2012
✔ NPI 1174557128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 9700943
Definition
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.
910 WEST HARRISON STREET, Reidsville, NC 27320
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Other Identifiers 3

Medicare ID-Type Unspecified2240802BNC
Medicare UPING49343
Medicaid891066ANC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

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. Tesfaye Demissie Fanta 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 ID4587603691
PECOS Enrollment IDI20050428000252
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.

Medicare Billing Reassignment

Medicare enrollment records show Tesfaye Fanta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Knd Development 59 , LLC
22 mi
Hospitalist
2401 SOUTHSIDE BLVD
Greensboro, NC 27406
  • Reassigned Medicare billing, North Carolina enrollment
  • 71 clinicians in this Medicare group
NPI 1619206133 (336) 271-2800

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 13

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
553 services74 patients
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.
257 services50 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services47 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
70 services70 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
67 services67 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27320 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers35 claims62 services$6.54 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier36 claims38 services$2.98 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims3,617 services$0.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tesfaye Fanta's NPI number?

The NPI number for Tesfaye Fanta is 1174557128. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Tesfaye Fanta located?

Tesfaye Fanta practices at 910 West Harrison Street, Reidsville, NC 27320. The listed phone number is (336) 342-9564.

What is Tesfaye Fanta's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tesfaye Fanta enrolled in Medicare?

Yes. Tesfaye Fanta 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 Tesfaye Fanta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tesfaye Fanta reassigns Medicare benefits to Knd Development 59 , LLC (Greensboro, NC). 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 Tesfaye Fanta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tesfaye Fanta accept?

Health plans from AmeriHealth Caritas Next, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Tesfaye Fanta 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.

Is Tesfaye Fanta affiliated with any hospitals?

According to CMS data, Tesfaye Fanta is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Tesfaye Fanta was last updated on July 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.