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MYESA H EMBERESH
NPI 1306251269
Pediatrics - Pediatric Hematology-Oncology in Johnson City, TN

Active since June 29, 2014PECOS Enrolled
400 N. STATE OF FRANKLIN ROAD, ST. JUDE'S TRI-CITIES AFFILIATE, JOHNSON CITY, TN 37604(423) 431-3950(423) 431-3958 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 31, 2020, May 20, 2020, May 5, 2020 and 2 more (5 updates tracked since 2017).

About Myesa H Emberesh NPPES

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

MYESA H EMBERESH (NPI 1306251269) is an individual pediatric hematology-oncology provider in Johnson City, Tennessee, licensed in Tennessee (MD61093) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306251269
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameMYESA H EMBERESH
Location Address400 N. STATE OF FRANKLIN ROAD, ST. JUDE'S TRI-CITIES AFFILIATEJohnson City, TN 37604
Mailing AddressPo Box 699Mountain Home, TN 37684-0699 · (423) 431-3950
Phone(423) 431-3950
Fax(423) 431-3958
Sole ProprietorNo
Enumeration DateJune 29, 2014
Last NPPES UpdateJuly 31, 20205 updates tracked since enumeration
NPPES CertifiedJuly 31, 2020
✔ NPI 1306251269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in TN · MD61093
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
400 N. STATE OF FRANKLIN ROAD, Johnson City, TN 37604
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Other Identifiers 1

Medicaid1306251269NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.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)

Myesa H Emberesh 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.

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 Myesa Emberesh's NPI number?

The NPI number for Myesa Emberesh is 1306251269. It was assigned to this individual provider in the NPPES registry on June 29, 2014.

Where is Myesa Emberesh located?

Myesa Emberesh practices at 400 N. State Of Franklin Road St. Jude's Tri-Cities Affiliate, Johnson City, TN 37604. The listed phone number is (423) 431-3950.

What is Myesa Emberesh's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Myesa Emberesh enrolled in Medicare?

Yes. Myesa Emberesh is registered in the Medicare PECOS enrollment system.

What insurance does Myesa Emberesh accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Myesa Emberesh 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 Myesa Emberesh was last updated on July 31, 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.