DR. SINETSEHAY C TEMESGEN MD
NPI 1215590484
Hospitalist in Atlanta, GA
About Dr. Sinetsehay C Temesgen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SINETSEHAY C TEMESGEN MD (NPI 1215590484) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (92569) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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. Sinetsehay C Temesgen 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 Reassignment
Medicare enrollment records show Sinetsehay Temesgen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital Gwinnett
Acute Care Hospitals · Lawrenceville, GANorthside Hospital Duluth
Acute Care Hospitals · Duluth, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30312 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.
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.
ATLANTA, GA 30312
ATLANTA, GA 30312
ATLANTA, GA 30312
ATLANTA, GA 30312
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 Sinetsehay Temesgen's NPI number?
The NPI number for Sinetsehay Temesgen is 1215590484. It was assigned to this individual provider in the NPPES registry on April 15, 2019.
Where is Sinetsehay Temesgen located?
Sinetsehay Temesgen practices at 303 Parkway Dr NE, Atlanta, GA 30312. The listed phone number is (404) 265-4919.
What is Sinetsehay Temesgen's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Sinetsehay Temesgen enrolled in Medicare?
Yes. Sinetsehay Temesgen 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 Sinetsehay Temesgen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sinetsehay Temesgen reassigns Medicare benefits to North Atlanta Professional Services LLC (Atlanta, GA). 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 Sinetsehay Temesgen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sinetsehay Temesgen accept?
Health plans from Oscar Health list Sinetsehay Temesgen 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 Sinetsehay Temesgen affiliated with any hospitals?
According to CMS data, Sinetsehay Temesgen is affiliated with Northside Hospital Gwinnett and Northside Hospital Duluth.
When was this NPI record last updated?
The NPPES record for Sinetsehay Temesgen was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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. Sinetsehay C Temesgen, MD · NPI 1215590484
Hospitalist physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since April 15, 2019.
## Identity
- **NPI:** 1215590484 (Entity type: Individual)
- **Enumerated:** April 15, 2019
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 92569 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 303 PARKWAY DR NE, Atlanta, GA 30312-1212
- **Phone:** (404) 265-4919
## 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:** North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1215590484) · Data from the CMS NPPES public registry.