SAMUEL HAILEMARIAM FANTAYE MD
NPI 1336677186
Internal Medicine - Endocrinology, Diabetes & Metabolism in Castro Valley, CA

Active since May 24, 2017PECOS EnrolledAccepts Medicare Assignment
20642 JOHN DR, CASTRO VALLEY, CA 94546(510) 857-2559 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2024, Nov 13, 2023, Jul 25, 2022 and 2 more (5 updates tracked since 2017).

About Samuel Hailemariam Fantaye Md NPPES

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

SAMUEL HAILEMARIAM FANTAYE MD (NPI 1336677186) is an individual endocrinology, diabetes & metabolism provider in Castro Valley, California, licensed in California (A169452) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1336677186
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameSAMUEL HAILEMARIAM FANTAYECredential: MD
Location Address20642 JOHN DRCastro Valley, CA 94546-5103
Mailing Address20642 John DrCastro Valley, CA 94546-5103
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 24, 2017
Last NPPES UpdateOctober 8, 20245 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
NPI 1336677186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in CA · A169452
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedFamily Medicine · Obesity MedicineTaxonomy 207QB0002X · License A169452 (CA)
Also ListedInternal MedicineTaxonomy 207R00000X · License A169452 (CA)
20642 JOHN DR, Castro Valley, CA 94546

Accepted 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

Samuel Hailemariam Fantaye Md 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 ID8022434729
PECOS Enrollment IDI20241226001175
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 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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
601 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
131 services127 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
29 services26 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
16 services16 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94546 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims30 services$6.37 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers26 claims26 services$176.61 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.

Internal Medicine
20642 JOHN DR
CASTRO VALLEY, CA 94546
Internal Medicine
20642 JOHN DR
CASTRO VALLEY, CA 94546
Physician Assistant
20642 JOHN DR
CASTRO VALLEY, CA 94546
Physician Assistant
20642 JOHN DR
CASTRO VALLEY, CA 94546
Obstetrics & Gynecology
20642 JOHN DR
CASTRO VALLEY, CA 94546
Nurse Practitioner
20642 JOHN DR
CASTRO VALLEY, CA 94546
Internal Medicine
20642 JOHN DR
CASTRO VALLEY, CA 94546
Physician Assistant
20642 JOHN DR
CASTRO VALLEY, CA 94546

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 Samuel Fantaye's NPI number?

The NPI number for Samuel Fantaye is 1336677186. It was assigned to this individual provider in the NPPES registry on May 24, 2017.

Where is Samuel Fantaye located?

Samuel Fantaye practices at 20642 John Dr, Castro Valley, CA 94546. The listed phone number is (510) 857-2559.

What is Samuel Fantaye's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Samuel Fantaye enrolled in Medicare?

Yes. Samuel Fantaye 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 Samuel Fantaye accept?

Health plans from CHRISTUS Health Plan, Imperial Insurance Companies, Inc., Molina Healthcare and UnitedHealthcare list Samuel Fantaye 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 Samuel Fantaye affiliated with any hospitals?

According to CMS data, Samuel Fantaye is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Fantaye was last updated on October 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.