HAILU SOLOMON MEHANZEL DMD
NPI 1245672716
Dentist - General Practice in Stockton, CA

Active since July 24, 2013PECOS Enrolled
1031 WATERLOO RD, STOCKTON, CA 95205(209) 940-5600(209) 940-5065 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hailu Solomon Mehanzel Dmd NPPES

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

HAILU SOLOMON MEHANZEL DMD (NPI 1245672716) is an individual general practice provider in Stockton, California, licensed in California (62284) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245672716
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameHAILU SOLOMON MEHANZELCredential: DMD
Location Address1031 WATERLOO RDStockton, CA 95205-4256
Mailing Address7210 Murray DrStockton, CA 95210-3339 · (209) 373-2800 · Fax (209) 373-2878
Fax(209) 940-5065
Sole ProprietorNo
Enumeration DateJuly 24, 2013
Last NPPES UpdateFebruary 5, 2016
NPI 1245672716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 62284
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1031 WATERLOO RD, Stockton, CA 95205

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 (PECOS)

Hailu Solomon Mehanzel Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95205 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%330 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
84%103 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
73%1,184 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
41%117 patients2/55-star benchmark: 97%
Primary Caries Prevention Intervention as Offered by Primary Care Providers, including Dentists
Percentage of children, age 0-20 years, who received a fluoride varnish application during the measurement period
86%418 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
62%1,184 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
18%1,184 patients1/55-star benchmark: 79%
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.

Dental Hygienist
1031 WATERLOO RD
STOCKTON, CA 95205
Community Health Worker
1031 WATERLOO RD
STOCKTON, CA 95205
Nurse Practitioner (Pediatrics)
1031 WATERLOO RD
STOCKTON, CA 95205
Family Medicine
1031 WATERLOO RD
STOCKTON, CA 95205
Clinic/Center (Federally Qualified Health Center (FQHC))
1031 WATERLOO RD
STOCKTON, CA 95205
Family Medicine
1031 WATERLOO RD
STOCKTON, CA 95205
Case Manager/Care Coordinator
1031 WATERLOO RD
STOCKTON, CA 95205
Case Manager/Care Coordinator
1031 WATERLOO RD
STOCKTON, CA 95205

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 Hailu Mehanzel's NPI number?

The NPI number for Hailu Mehanzel is 1245672716. It was assigned to this individual provider in the NPPES registry on July 24, 2013.

Where is Hailu Mehanzel located?

Hailu Mehanzel practices at 1031 Waterloo Rd, Stockton, CA 95205. The listed phone number is (209) 940-5600.

What is Hailu Mehanzel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Hailu Mehanzel enrolled in Medicare?

Yes. Hailu Mehanzel is registered in the Medicare PECOS enrollment system.

What insurance does Hailu Mehanzel accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Renaissance Dental list Hailu Mehanzel 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 Hailu Mehanzel was last updated on February 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.