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DR. MESAFINT TADESSE SHIFERAW MD
NPI 1346735180
Pediatrics - Pediatric Critical Care Medicine in Marietta, GA

Active since June 25, 2018PECOS Enrolled
677 CHURCH ST NE, MARIETTA, GA 30060(770) 793-5000 Get Directions Write a Review

NPPES record last updated: September 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2024, Jun 11, 2019, Jun 25, 2018 (3 updates tracked since 2018).

About Dr. Mesafint Tadesse Shiferaw Md NPPES

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

DR. MESAFINT TADESSE SHIFERAW MD (NPI 1346735180) is an individual pediatric critical care medicine provider in Marietta, Georgia, licensed in Georgia (99136) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1346735180
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. MESAFINT TADESSE SHIFERAWCredential: MD
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address677 Church St NeMarietta, GA 30060-1101 · (770) 793-5000
Phone(770) 793-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 25, 2018
Last NPPES UpdateSeptember 7, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2024
✔ NPI 1346735180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in GA · 99136
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 99136 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN26986 (FL)
677 CHURCH ST NE, Marietta, GA 30060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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)

Dr. Mesafint Tadesse Shiferaw Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789162314
PECOS Enrollment IDI20260203004509
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.

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.

JILLIAN MARIE BLALOCK DO
Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
JAMIN GRAHAM MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
SAUMYA GURBANI MD, PHD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Cobb County (770) 793-7742
DR. HALEY PUCKETT LAWHORN MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
MRS. RHONDA KIM LEE NP-C
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-7173
DEVIN HORTON CRNA
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 794-0477
BRITNEY ELIZABETH BECKETT
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
MS. EVELYN KAY HALE RN
Registered Nurse
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-9560

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 Mesafint Shiferaw's NPI number?

The NPI number for Mesafint Shiferaw is 1346735180. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Mesafint Shiferaw located?

Mesafint Shiferaw practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 793-5000.

What is Mesafint Shiferaw's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Mesafint Shiferaw enrolled in Medicare?

Yes. Mesafint Shiferaw is registered in the Medicare PECOS enrollment system.

What insurance does Mesafint Shiferaw accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Mesafint Shiferaw 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 Mesafint Shiferaw was last updated on September 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.