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FISSEHA ZEWDU BEKELE MD
NPI 1235417825
Hospitalist in Atlanta, GA

Active since July 30, 2011PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
303 PARKWAY DR NE, ATLANTA, GA 30312(404) 265-4919(404) 265-4989 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fisseha Zewdu Bekele Md NPPES

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

FISSEHA ZEWDU BEKELE MD (NPI 1235417825) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (71962) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1235417825
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameFISSEHA ZEWDU BEKELECredential: MD
Location Address303 PARKWAY DR NEAtlanta, GA 30312-1212
Mailing Address1296 Adcox SqStone Mountain, GA 30088-4546 · (404) 663-7942
Phone(404) 265-4919
Fax(404) 265-4989
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 30, 2011
Last NPPES UpdateJanuary 8, 2020
✔ NPI 1235417825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in GA · 71962
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5057 (GA)
303 PARKWAY DR NE, Atlanta, GA 30312
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fisseha Zewdu Bekele 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 ID5799914065
PECOS Enrollment IDI20140811001537
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.

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.
426 services193 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.
185 services102 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.
141 services136 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110076
Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County
Emergency services Birthing friendly

Physician 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.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%318 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. PIA MAGDALENA RAMO MENDOZA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (404) 265-4115
SAVANNAH ELIZABETH EICHHORN
Student in an Organized Health Care Education/Training Program
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (404) 265-4627
DR. ALEXANDR BABAYEUSKI MD
Internal Medicine
303 PARKWAY DR NE, GME-INTERNAL MEDICINE
ATLANTA, GA 30312
Fulton County (404) 265-4919
DR. BIRUK TASSEW MENGISTU MD
Internal Medicine
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (404) 265-4919
MR. GREGORY C. DAVIS PA
Physician Assistant
303 PARKWAY DR NE, ER DEPT
ATLANTA, GA 30312
Fulton County (404) 265-4136
DR. JANA BECKETT SMITH M.D.
Emergency Medicine
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (404) 265-4136
ROBERT HINTON PA
Anesthesiologist Assistant
303 PARKWAY DR NE, PMB 404
ATLANTA, GA 30312
Fulton County (404) 265-4520
AZZA ELAMIN M.D
Student in an Organized Health Care Education/Training Program
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (470) 819-1247

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 Fisseha Bekele's NPI number?

The NPI number for Fisseha Bekele is 1235417825. It was assigned to this individual provider in the NPPES registry on July 30, 2011.

Where is Fisseha Bekele located?

Fisseha Bekele practices at 303 Parkway Dr NE, Atlanta, GA 30312. The listed phone number is (404) 265-4919.

What is Fisseha Bekele's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Fisseha Bekele enrolled in Medicare?

Yes. Fisseha Bekele 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 Fisseha Bekele accept?

Health plans from Oscar Insurance Company list Fisseha Bekele 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 Fisseha Bekele affiliated with any hospitals?

According to CMS data, Fisseha Bekele is affiliated with Emory Decatur Hospital.

When was this NPI record last updated?

The NPPES record for Fisseha Bekele was last updated on January 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.