DR. BENALFEW TESFAYE LEGESSE MD
NPI 1376767988
Psychiatry & Neurology - Psychiatry in Jacksonville, FL
About Dr. Benalfew Tesfaye Legesse Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENALFEW TESFAYE LEGESSE MD (NPI 1376767988) is an individual psychiatry provider in Jacksonville, Florida, licensed in Florida (ME157729) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Memorial Hospital, and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Benalfew Tesfaye Legesse Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Benalfew Legesse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32216
- Reassigned Medicare billing, Florida enrollment
- 58 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Florida Memorial Hospital
Acute Care Hospitals · Jacksonville, FLHca Florida Orange Park Hospital
Acute Care Hospitals · Orange Park, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
JACKSONVILLE, FL 32216
JACKSONVILLE, FL 32216
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 Benalfew Legesse's NPI number?
The NPI number for Benalfew Legesse is 1376767988. It was assigned to this individual provider in the NPPES registry on April 13, 2007.
Where is Benalfew Legesse located?
Benalfew Legesse practices at 3625 University Blvd S, Jacksonville, FL 32216. The listed phone number is (190) 470-2635.
What is Benalfew Legesse's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Benalfew Legesse enrolled in Medicare?
Yes. Benalfew Legesse 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.
Which organization bills Medicare for Benalfew Legesse's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benalfew Legesse reassigns Medicare benefits to Memorial Family Practice Associates, LLC (Jacksonville, FL). 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 Benalfew Legesse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benalfew Legesse accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Benalfew Legesse 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.
Is Benalfew Legesse affiliated with any hospitals?
According to CMS data, Benalfew Legesse is affiliated with Hca Florida Memorial Hospital and Hca Florida Orange Park Hospital.
When was this NPI record last updated?
The NPPES record for Benalfew Legesse was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Benalfew Tesfaye Legesse, MD · NPI 1376767988
Psychiatry physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since April 13, 2007.
## Identity
- **NPI:** 1376767988 (Entity type: Individual)
- **Enumerated:** April 13, 2007
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** ME157729 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3625 UNIVERSITY BLVD S, Jacksonville, FL 32216-4207
- **Phone:** (190) 470-2635
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Memorial Family Practice Associates, LLC (NPI 1598869844, Jacksonville, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** September 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1376767988) · Data from the CMS NPPES public registry.