TADDESE TEFERI DESTA M.D.
NPI 1346326246
Internal Medicine - Gastroenterology in San Diego, CA

Active since October 31, 2006PECOS EnrolledAccepts Medicare Assignment
292 EUCLID AVE, SUITE 115, SAN DIEGO, CA 92114(619) 266-3332(619) 266-6000 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taddese Teferi Desta M.d. NPPES

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

TADDESE TEFERI DESTA M.D. (NPI 1346326246) is an individual gastroenterology provider in San Diego, California, licensed in California (A49164) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (1989).

NPPES Registry Identity

NPI1346326246
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameTADDESE TEFERI DESTACredential: M.D.
Location Address292 EUCLID AVE, SUITE 115San Diego, CA 92114-3643
Mailing Address292 Euclid Ave Ste 115San Diego, CA 92114-3629 · (619) 266-3332 · Fax (619) 266-6000
Fax(619) 266-6000
Sole ProprietorYes
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 1989
Enumeration DateOctober 31, 2006
Last NPPES UpdateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
NPI 1346326246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · A49164
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X · License A49164 (CA)
292 EUCLID AVE, San Diego, CA 92114

Other Identifiers 1

Medicaid00A491640CA

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

Taddese Teferi Desta 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 ID6608779335
PECOS Enrollment IDI20040202001020
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 9

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
77 services77 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.
73 services73 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
72 services72 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.
56 services54 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
55 services55 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92114 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.62 avg. paid by Medicare
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
1 supplier12 claims12 services$58.23 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
292 EUCLID AVE, STE 210
SAN DIEGO, CA 92114
Specialist
292 EUCLID AVE, STE 115
SAN DIEGO, CA 92114
Pediatrics
292 EUCLID AVE, 220
SAN DIEGO, CA 92114
Pediatrics
292 EUCLID AVE, SUITE 220
SAN DIEGO, CA 92114
Pediatrics
292 EUCLID AVE, SUITE 220
SAN DIEGO, CA 92114
Internal Medicine (Gastroenterology)
292 EUCLID AVE, SUITE 115
SAN DIEGO, CA 92114
Marriage & Family Therapist
292 EUCLID AVE, SUITE #112
SAN DIEGO, CA 92114
Family Medicine
292 EUCLID AVE, STE 210
SAN DIEGO, CA 92114

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 Taddese Desta's NPI number?

The NPI number for Taddese Desta is 1346326246. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Taddese Desta located?

Taddese Desta practices at 292 Euclid Ave Suite 115, San Diego, CA 92114. The listed phone number is (619) 266-3332.

What is Taddese Desta's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Taddese Desta enrolled in Medicare?

Yes. Taddese Desta 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.

When was this NPI record last updated?

The NPPES record for Taddese Desta was last updated on December 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.