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

Q: 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.

Q: 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.

Q: 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 2 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.

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: November 01, 2026.

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

On this page

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

Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mesafint Shiferaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ochsner Clinic LLC

381 mi

General Practice

100 RED CROSS PL
Bogalusa, LA 70427

Reassigned Medicare billing, Louisiana enrollment
4,559 clinicians in this Medicare group

NPI 1366797110 (985) 875-2828

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

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 S GURBANI MD, PHD

Radiology (Diagnostic Radiology)

677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060

Cobb County (770) 793-7742

JULIA PATRICIA KENDRICK

Registered Nurse

677 CHURCH ST NE
MARIETTA, GA 30060

Cobb County (770) 793-5000

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

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.

Which organization bills Medicare for Mesafint Shiferaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mesafint Shiferaw reassigns Medicare benefits to Ochsner Clinic LLC (Bogalusa, LA). The 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 Mesafint Shiferaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 and 2 other insurers 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 2 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.