BIRHANE GEBREYESUS KALEAB M.D.
NPI 1336250265
Hospitalist in Thomasville, NC

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360(336) 474-3444(336) 277-9183 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2026, Apr 4, 2024, Oct 25, 2020 and 1 more (4 updates tracked since 2017).

About Birhane Gebreyesus Kaleab M.d. NPPES

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

BIRHANE GEBREYESUS KALEAB M.D. (NPI 1336250265) is an individual hospitalist provider in Thomasville, North Carolina, licensed in North Carolina (200400053) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Winston Salem.

NPPES Registry Identity

NPI1336250265
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBIRHANE GEBREYESUS KALEABCredential: M.D.
Location Address207 OLD LEXINGTON RDThomasville, NC 27360-3428
Mailing AddressPo Box 604042Charlotte, NC 28260-4042
Fax(336) 277-9183
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 22, 20264 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
✔ NPI 1336250265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NC · 200400053
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 200400053 (NC)
207 OLD LEXINGTON RD, Thomasville, NC 27360

Secondary Practice Location 1

Location 12085 Frontis Plaza BlvdWinston Salem, NC 27103-5614 · Phone (704) 316-4136

Other Identifiers 4

Medicaid89011MANC
Medicaid1336250265NC
Other138RPNC · Bcbs
Medicaid89138RPNC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Birhane Gebreyesus Kaleab 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 ID749181469
PECOS Enrollment IDI20041202000070
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Birhane Kaleab reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease
207 OLD LEXINGTON RD
Thomasville, NC 27360
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
Specialist
207 OLD LEXINGTON RD
Thomasville, NC 27360
  • Reassigned Medicare billing, North Carolina enrollment
  • 719 clinicians in this Medicare group
Hematology & Oncology
1213 LEXINGTON AVE, SUITE B
Thomasville, NC 27360
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,202 clinicians in this Medicare group
Infectious Disease
2085 FRONTIS PLAZA BLVD
Winston Salem, NC 27103
  • Reassigned Medicare billing, North Carolina enrollment
  • 164 clinicians in this Medicare group
Internal Medicine
104 POMONA DR
Greensboro, NC 27407
  • Reassigned Medicare billing, North Carolina enrollment
  • 691 clinicians in this Medicare group
Emergency Medical Services
6701B NC HWY 135
Mayodan, NC 27027
  • Reassigned Medicare billing, North Carolina enrollment
  • 24 clinicians in this Medicare group
Family Medicine
7910 US HWY 117 S UNIT 120
Rocky Point, NC 28457
  • Reassigned Medicare billing, North Carolina enrollment
  • 710 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 6

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 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.
198 services91 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
72 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
51 services50 patients
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.
32 services22 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
19 services19 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
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.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Novant Health Thomasville Medical Center

Acute Care Hospitals · Thomasville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340085
Location207 Old Lexington Rd Box 789Thomasville, NC 27360 · Davidson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27360 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims24 services$90.51 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$34.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Specialist
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Family Medicine
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Nurse Anesthetist, Certified Registered
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Nurse Practitioner (Neonatal, Critical Care)
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Internal Medicine (Critical Care Medicine)
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Psychiatry & Neurology (Psychiatry)
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360
Internal Medicine
207 OLD LEXINGTON RD
THOMASVILLE, NC 27360

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 Birhane Kaleab's NPI number?

The NPI number for Birhane Kaleab is 1336250265. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Birhane Kaleab located?

Birhane Kaleab practices at 207 Old Lexington Rd, Thomasville, NC 27360. The listed phone number is (336) 474-3444.

What is Birhane Kaleab's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Birhane Kaleab enrolled in Medicare?

Yes. Birhane Kaleab 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.

Which organizations bill Medicare for Birhane Kaleab's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Birhane Kaleab reassigns Medicare benefits to 7 organizations: Novant Health Medical Group, LLC (Thomasville, NC), Novant Health Thomasville Medical Center, LLC (Thomasville, NC), Forsyth Memorial Hospital Inc (Thomasville, NC), Nh Digital Health Services, LLC (Winston Salem, NC), Moses Cone Physician Services, Inc. (Greensboro, NC) and 2 more organizations, listed in the Medicare section above. Each 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 Birhane Kaleab's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Birhane Kaleab accept?

Health plans from Cigna Healthcare list Birhane Kaleab 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 Birhane Kaleab affiliated with any hospitals?

According to CMS data, Birhane Kaleab is affiliated with Novant Health Forsyth Medical Center and Novant Health Thomasville Medical Center.

When was this NPI record last updated?

The NPPES record for Birhane Kaleab was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.