DR. EZANA NEGUSSU BEKELE
NPI 1407344922
Internal Medicine - Gastroenterology in Newark, OH

Q: What is Ezana Bekele's NPI number?

The NPI number for Ezana Bekele is 1407344922. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Q: What is Ezana Bekele's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Ezana Bekele was last updated on August 22, 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 April 30, 2018PECOS EnrolledAccepts Medicare Assignment

1717 WEST MAIN ST STE 203, NEWARK, OH 43055(220) 564-2950(220) 564-2951 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 22, 2024, Apr 30, 2018 (2 updates tracked since 2018).

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About Dr. Ezana Negussu Bekele NPPES

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

DR. EZANA NEGUSSU BEKELE (NPI 1407344922) is an individual gastroenterology provider in Newark, Ohio, licensed in Ohio (35.151653) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1407344922

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. EZANA NEGUSSU BEKELE

Location Address1717 WEST MAIN ST STE 203Newark, OH 43055-3609

Mailing Address1717 West Main St Ste 203Newark, OH 43055-3609 · (220) 564-2950 · Fax (220) 564-2951

Phone(220) 564-2950

Fax(220) 564-2951

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateApril 30, 2018

Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration

NPPES CertifiedAugust 22, 2024

✔ NPI 1407344922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in OH · 35.151653

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1717 WEST MAIN ST STE 203, Newark, OH 43055

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource 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 and accepts Medicare assignment

Dr. Ezana Negussu Bekele 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.

PECOS PAC ID1557894375

PECOS Enrollment IDI20241031001273

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 Reassignments

Medicare enrollment records show Ezana Bekele reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Licking Memorial Professional Corporation

0.8 mi

Anatomic Pathology & Clinical Pathology

1320 W MAIN ST
Newark, OH 43055

Reassigned Medicare billing, Ohio enrollment
Medicare enrollment name: Licking Memorial Health Professionals
280 clinicians in this Medicare group

NPI 1932186053 (740) 348-4266

Somc Medical Care Foundation, Inc.

93 mi

Diagnostic Radiology

1805 27TH ST
Portsmouth, OH 45662

Reassigned Medicare billing, Ohio enrollment
549 clinicians in this Medicare group

NPI 1366686230 (740) 356-8117

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

28 services28 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

15 services15 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360008

Location1805 27th StreetPortsmouth, OH 45662 · Scioto County

Emergency services Birthing friendly

Licking Memorial Hospital

Acute Care Hospitals · Newark, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360218

Location1320 West Main StreetNewark, OH 43055 · Licking County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA DANIELLE DROSDAK MD

Internal Medicine (Gastroenterology)