ETSEHIWOT TAYE MD NPI 1376621284

Internal Medicine in Selma, CA

NPI 1376621284 Individual Female Years of Experience 32 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About ETSEHIWOT TAYE

Etsehiwot Taye is an internal medicine provider established in Selma, California and her medical specialization is internal medicine with more than 32 years of experience. The NPI number of Etsehiwot Taye is 1376621284 and was assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X with license number A78494 (CA). The provider is registered as an individual and her NPI record was last updated December 2021.

An internist like Etsehiwot Taye Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Etsehiwot Taye is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Etsehiwot Taye is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Kaiser Foundation Hospital - Fresno.

NPI

1376621284

Provider Name ETSEHIWOT TAYE MD
Provider Location Address2651 HIGHLAND AVE SELMA, CA 93662
Provider Mailing Address1800 HARRISON ST FL 7 OAKLAND, CA 94612
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1990
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-01-2006
Last Update Date12-13-2021


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.A78494
License StateCA
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

ETSEHIWOT TAYE MD
2651 HIGHLAND AVE
SELMA, CA
ZIP 93662
Phone: (559) 898-6165

Get Directions


Mailing Address

ETSEHIWOT TAYE MD
1800 HARRISON ST FL 7
OAKLAND, CA
ZIP 94612
Phone: (510) 625-6262



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID9739239518
PECOS Enrollment IDI20090617000221
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Etsehiwot Taye is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
KAISER FOUNDATION HOSPITAL - FRESNO7300 NORTH FRESNO ST
FRESNO, CA 93720
(559) 448-4500Acute Care Hospitals50710

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00A784940MEDICAID (05)CA

Other Providers at the same location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447339239 PAUL L. WILLIAMS MD
Individual
Internal Medicine2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6165
1265504070 AIMEE L. SIMBRE MD
Individual
Pediatrics2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6165
1134279946 NELSON A. RODRIGUEZ MD
Individual
Internal Medicine2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6165
1831188051MS. LAURIE BERTHOLD CPNP
Individual
Nurse Practitioner (Pediatrics)2651 HIGHLAND AVE KAISER PERMANENTE DEPT OF PEDIATRICS
SELMA, CA 93662
(559) 898-6140
1093246753 ALLAN WONG
Individual
Pharmacist2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6180
1295267011DR. DAO MOUA PHARM.D.
Individual
Pharmacist2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6240
1124550579 RAYMOND CHAN
Individual
Pharmacist2651 HIGHLAND AVE
SELMA, CA 93662
(559) 448-6180
1780895631MRS. LORI ANN EMLER NP
Individual
Nurse Practitioner (Primary Care)2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6000
1932498276 SHRUTI ROY JOSEPH M.D.
Individual
Family Medicine2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6100
1508913831KAISER FOUNDATION HEALTH PLAN INC
Organization
Pharmacy (Community/Retail Pharmacy)2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6011
1174601066 RICHARD L. PIEL MD
Individual
Internal Medicine2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6165
1174601991 BIMALROY N. SHAH MD
Individual
Internal Medicine2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6165
1225116049 LORRAINE LOPEZ MD
Individual
Pediatrics2651 HIGHLAND AVE
SELMA, CA 93662
(559) 898-6165

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.