FEKADE TEFERA PHYSICIAN, P.C.
NPI 1275686131
Internal Medicine - Nephrology in Brooklyn, NY

Active since January 22, 2007
1222 E 96TH ST, BROOKLYN, NY 11236(718) 874-7095 Get Directions Write a Review

NPPES record last updated: March 26, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Fekade Tefera Physician, P.c. NPPES

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

FEKADE TEFERA PHYSICIAN, P.C. (NPI 1275686131) is a healthcare organization registered as a nephrology in Brooklyn, New York and active in the NPI registry since January 2007. The organization lists Fekade Tefera, President, as its authorized official.

NPPES Registry Identity

NPI1275686131
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameFEKADE TEFERA PHYSICIAN, P.C.
Location Address1222 E 96TH STBrooklyn, NY 11236-3903
Mailing Address148 Crescent AveEast Brunswick, NJ 08816-5416 · (732) 251-2048
Organization SubpartNo
Authorized OfficialFekade TeferaPresident · (732) 251-2048
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMarch 26, 2008
✔ NPI 1275686131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1222 E 96TH ST, Brooklyn, NY 11236

Other Identifiers 4

Medicaid01702978NY
Medicare UPING40116NY
Medicare PINWANK91NY
Medicare PIN18N172NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fekade Tefera Physician, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20070208000461Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fekade Tefera Physician, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1336177328
1222 E 96TH ST
Brooklyn, NY 11236
(718) 874-7095
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Fekade Tefera Physician, P.C.'s NPI number?

The NPI number for Fekade Tefera Physician, P.C. is 1275686131. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Fekade Tefera Physician, P.C. located?

Fekade Tefera Physician, P.C. is located at 1222 E 96th St, Brooklyn, NY 11236. The listed phone number is (718) 874-7095.

What is Fekade Tefera Physician, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Fekade Tefera Physician, P.C. enrolled in Medicare?

Yes. Fekade Tefera Physician, P.C. is registered in the Medicare PECOS enrollment system.

When is Fekade Tefera Physician, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Fekade Tefera Physician, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Fekade Tefera Physician, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fekade Tefera Physician, P.C. was last updated on March 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.