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BETHEL ADEFRES MD
NPI 1376112607
Student in an Organized Health Care Education/Training Program in Porterville, CA

Active since June 21, 2021PECOS Enrolled
465 W PUTNAM AVE, PORTERVILLE, CA 93257(559) 784-1110 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 9, 2023, Jun 21, 2021 (2 updates tracked since 2021).

About Bethel Adefres Md NPPES

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

BETHEL ADEFRES MD (NPI 1376112607) is an individual student in an organized health care education/training program in Porterville, California and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2021).

NPPES Registry Identity

NPI1376112607
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBETHEL ADEFRESCredential: MD
Location Address465 W PUTNAM AVEPorterville, CA 93257-3320
Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 200-2000
Phone(559) 784-1110
Sole ProprietorYes
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2021
Enumeration DateJune 21, 2021
Last NPPES UpdateJune 9, 20232 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1376112607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License 80946 (CT)
465 W PUTNAM AVE, Porterville, CA 93257
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethel Adefres Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274036058
PECOS Enrollment IDI20260812000163
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 Bethel Adefres reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Arnot Ogden Medical Center
2,283 mi
General Acute Care Hospital
600 ROE AVE
Elmira, NY 14905
  • Reassigned Medicare billing, New York enrollment
  • 245 clinicians in this Medicare group
NPI 1083605661 (607) 737-4100

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.

LAUREN ALEXA MD
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 784-1110
DONALD JAMES CHRISTIAN P.A-C
Physician Assistant
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 784-1110
CATHERINE NICHOLAS MD
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 748-1110
DR. ASHOT MINASYAN MD
Internal Medicine (Cardiovascular Disease)
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 784-1110
JOSHUA CAZARES
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 748-1110
TANVEER SINGH MD
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 788-6156
JORGE LUIS CABALLERO MD
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 788-6156
JAMES ZHAO DO
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Tulare County (559) 748-1110

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 Bethel Adefres's NPI number?

The NPI number for Bethel Adefres is 1376112607. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Where is Bethel Adefres located?

Bethel Adefres practices at 465 W Putnam Ave, Porterville, CA 93257. The listed phone number is (559) 784-1110.

What is Bethel Adefres's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bethel Adefres enrolled in Medicare?

Yes. Bethel Adefres is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bethel Adefres's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bethel Adefres reassigns Medicare benefits to Arnot Ogden Medical Center (Elmira, NY). 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 Bethel Adefres's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bethel Adefres was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.