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DR. ROBEL TESFAYE BEYENE M.D.
NPI 1255625703
Surgery in Nashville, TN

Active since June 01, 2011PECOS EnrolledAccepts Medicare Assignment
97.12/100
CMS Quality Rating
1211 21ST AVE S, 404 MEDICAL ARTS BUILDING, NASHVILLE, TN 37212(615) 936-1909 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2020, Jan 20, 2019, Aug 18, 2017 (3 updates tracked since 2017).

About Dr. Robel Tesfaye Beyene M.d. NPPES

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

DR. ROBEL TESFAYE BEYENE M.D. (NPI 1255625703) is an individual surgery provider in Nashville, Tennessee, licensed in Tennessee (55965) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Vanderbilt University Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1255625703
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROBEL TESFAYE BEYENECredential: M.D.
Location Address1211 21ST AVE S, 404 MEDICAL ARTS BUILDINGNashville, TN 37212-2717
Mailing Address3841 Green Hills Village Dr Ste 200Nashville, TN 37215-2691 · (615) 322-3000
Phone(615) 936-1909
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 1, 2011
Last NPPES UpdateMarch 22, 20223 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
✔ NPI 1255625703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TN · 55965
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License 55965 (TN)
1211 21ST AVE S, Nashville, TN 37212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee, 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

Dr. Robel Tesfaye Beyene 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 ID8527319995
PECOS Enrollment IDI20180924002940
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.
69 services17 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.
30 services11 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Vanderbilt University Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440039
Location1211 Medical Center DriveNashville, TN 37232 · Davidson County
Emergency services Birthing friendly

Vanderbilt Wilson County Hospital

Acute Care Hospitals · Lebanon, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440193
Location1411 Baddour ParkwayLebanon, TN 37087 · Wilson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37212 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

97.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.64
Promoting Interoperability100
Improvement Activities40

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.

RACHEL ANN ALCORTA ACNP
Nurse Practitioner (Acute Care)
1211 21ST AVE S, 404 MEDICAL ARTS BUILDING
NASHVILLE, TN 37212
Davidson County (615) 936-0175
KRISTIN M WERKING RN, MSN, ACNP-BC
Nurse Practitioner (Acute Care)
1211 21ST AVE S, 404 MAB
NASHVILLE, TN 37212
Davidson County (615) 936-6654
DR. SHEENA MARIE WEAVER MD
Anesthesiology (Critical Care Medicine)
1211 21ST AVE S, MAB SUITE 526
NASHVILLE, TN 37212
Davidson County (615) 343-6268
KEENA J ANDREWS MS, RD, CSP, LDN
Dietitian, Registered
1211 21ST AVE S
NASHVILLE, TN 37212
Davidson County (615) 483-7330
ALEXANDRIA SPIDALIERI M.ED, BCBA
Behavior Analyst
1211 21ST AVE S, MAB SUITE 110
NASHVILLE, TN 37212
Davidson County (615) 875-9713
CANDANCE AUTUMN ALEXANDER APN
Nurse Practitioner (Family)
1211 21ST AVE S, MEDICAL ARTS BUILDING, SUITE 114
NASHVILLE, TN 37212
Davidson County (615) 936-1966
MRS. BETHANY LAUREN EVANS RN, MSN, ACNP-BC
Nurse Practitioner (Acute Care)
1211 21ST AVE S, 404 MAB
NASHVILLE, TN 37212
Davidson County (615) 936-6654
MS. EVAN CAMPA M.ED., BCBA
Behavior Analyst
1211 21ST AVE S, SUITE 110
NASHVILLE, TN 37212
Davidson County (615) 343-4275

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 Robel Beyene's NPI number?

The NPI number for Robel Beyene is 1255625703. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Where is Robel Beyene located?

Robel Beyene practices at 1211 21st Ave S 404 Medical Arts Building, Nashville, TN 37212. The listed phone number is (615) 936-1909.

What is Robel Beyene's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robel Beyene enrolled in Medicare?

Yes. Robel Beyene 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 Robel Beyene accept?

Health plans from Alliant Health Plans, Inc., BlueCross BlueShield of Tennessee and Oscar Insurance Company list Robel Beyene 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 Robel Beyene affiliated with any hospitals?

According to CMS data, Robel Beyene is affiliated with Vanderbilt University Medical Center and Vanderbilt Wilson County Hospital.

When was this NPI record last updated?

The NPPES record for Robel Beyene was last updated on March 22, 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.