DR. ISMAELA TEZERA TEFERI M.D.
NPI 1194103820
Internal Medicine in Jamaica, NY

Q: What is Ismaela Teferi's NPI number?

The NPI number for Ismaela Teferi is 1194103820. It was assigned to this individual provider in the NPPES registry on May 14, 2015.

Q: What is Ismaela Teferi's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ismaela Teferi was last updated on October 23, 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.

Active since May 14, 2015PECOS EnrolledAccepts Medicare Assignment

8900 VAN WYCK EXPY, JAMAICA, NY 11418(718) 206-6777(718) 206-6651 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 23, 2019, Feb 23, 2016 (2 updates tracked since 2016).

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About Dr. Ismaela Tezera Teferi M.d. NPPES

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

DR. ISMAELA TEZERA TEFERI M.D. (NPI 1194103820) is an individual internal medicine provider in Jamaica, New York, licensed in Pennsylvania (MD468637) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Providence Medical Center, and maintains a secondary practice location in Harrisburg.

NPPES Registry Identity

NPI1194103820

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. ISMAELA TEZERA TEFERICredential: M.D.

Location Address8900 VAN WYCK EXPYJamaica, NY 11418-2832

Mailing Address8900 Van Wyck ExpyJamaica, NY 11418-2832 · (718) 206-6777 · Fax (718) 206-6651

Phone(718) 206-6777

Fax(718) 206-6651

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 14, 2015

Last NPPES UpdateOctober 23, 20192 updates tracked since enumeration

✔ NPI 1194103820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in PA · MD468637

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.

Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License MD468637 (PA)

8900 VAN WYCK EXPY, Jamaica, NY 11418

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Secondary Practice Location 1

Location 14300 Londonderry RdHarrisburg, PA 17109-5317 · Phone (717) 231-8772

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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. Ismaela Tezera Teferi 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.

PECOS PAC ID9234563776

PECOS Enrollment IDI20200617003490

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 Reassignments

Medicare enrollment records show Ismaela Teferi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinnacle Health Hospitalist Services LLC

161 mi

Hospitalist

4300 LONDONDERRY RD
Harrisburg, PA 17109

Reassigned Medicare billing, Pennsylvania enrollment
322 clinicians in this Medicare group

NPI 1023458148 (717) 231-8772

Saint Thomas Medical Partners

770 mi

Clinical Neuropsychologist

2021 CHURCH ST, STE. 102
Nashville, TN 37203

Reassigned Medicare billing, Tennessee enrollment
1,304 clinicians in this Medicare group

NPI 1558506980 (615) 284-7555

Hospital Medicine Services Of Tn, LLC

771 mi

Hospitalist

2300 PATTERSON ST
Nashville, TN 37203

Reassigned Medicare billing, Tennessee enrollment
420 clinicians in this Medicare group

NPI 1982301065 (615) 342-1001

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 4

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.

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.

307 services142 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

207 services108 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

105 services102 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Medical Center

Acute Care Hospitals · Kansas City, KS

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number170146

Location8929 Parallel ParkwayKansas City, KS 66112 · Wyandotte County

Emergency services Birthing friendly

Tristar Summit Medical Center

Acute Care Hospitals · Hermitage, TN

2/5 CMS rating

OwnershipProprietary

CMS Certification Number440150

Location5655 Frist BlvdHermitage, TN 37076 · Davidson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11418 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers17 claims17 services$12.10 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers25 claims25 services$63.85 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

XUN LI M.D.

Neurological Surgery