THEODROS MENGESHA MD
NPI 1184771909
Psychiatry & Neurology - Neurology in Madison, AL
About Theodros Mengesha Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODROS MENGESHA MD (NPI 1184771909) is an individual neurology provider in Madison, Alabama, licensed in Alabama (28347) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theodros Mengesha 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35758 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, AL 35758
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 Theodros Mengesha's NPI number?
The NPI number for Theodros Mengesha is 1184771909. It was assigned to this individual provider in the NPPES registry on January 4, 2007.
Where is Theodros Mengesha located?
Theodros Mengesha practices at 8484 Wann Dr NW Ste A, Madison, AL 35758. The listed phone number is (256) 963-9444.
What is Theodros Mengesha's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Theodros Mengesha enrolled in Medicare?
Yes. Theodros Mengesha 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.
What insurance does Theodros Mengesha accept?
Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Theodros Mengesha 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.
When was this NPI record last updated?
The NPPES record for Theodros Mengesha was last updated on November 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.