MIKIAS BERHANU NEGUSSIE MD
NPI 1265372403
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is Mikias Negussie's NPI number?

The NPI number for Mikias Negussie is 1265372403. It was assigned to this individual provider in the NPPES registry on March 30, 2026. The provider is also known as Mikias B Negussie MD.

Q: What is Mikias Negussie's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mikias Negussie was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 March 30, 2026

1329 GROVE ST, SAN FRANCISCO, CA 94117(720) 862-5194 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Mikias Berhanu Negussie Md NPPES

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

MIKIAS BERHANU NEGUSSIE MD (NPI 1265372403) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1265372403

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMIKIAS BERHANU NEGUSSIECredential: MD

Location Address1329 GROVE STSan Francisco, CA 94117-1481

Mailing Address1329 Grove StSan Francisco, CA 94117-1481 · (720) 862-5194

Phone(720) 862-5194

Sole ProprietorYes

Enumeration DateMarch 30, 2026

NPPES CertifiedMarch 23, 2026

✔ NPI 1265372403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1329 GROVE ST, San Francisco, CA 94117

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Other Names 1

Professional Name (2)Mikias B Negussie Md

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 Mikias Negussie's NPI number?

The NPI number for Mikias Negussie is 1265372403. It was assigned to this individual provider in the NPPES registry on March 30, 2026. The provider is also known as Mikias B Negussie MD.

Where is Mikias Negussie located?

Mikias Negussie practices at 1329 Grove St, San Francisco, CA 94117. The listed phone number is (720) 862-5194.

What is Mikias Negussie's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mikias Negussie was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.