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GIRMACHEW TRUNEH D.O.
NPI 1467507285
Hospitalist in Miami, FL

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
87.41/100
CMS Quality Rating
1611 N.W. 12TH AVENUE., JACKSON MEMORIAL HOSPITAL, MIAMI, FL 33136(305) 585-5400 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Girmachew Truneh D.o. NPPES

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

GIRMACHEW TRUNEH D.O. (NPI 1467507285) is an individual hospitalist provider in Miami, Florida, licensed in Florida (OS8097) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1467507285
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameGIRMACHEW TRUNEHCredential: D.O.
Location Address1611 N.W. 12TH AVENUE., JACKSON MEMORIAL HOSPITALMiami, FL 33136-1096
Mailing Address1850 Ne 169th St, # 301North Miami Beach, FL 33162-3059
Phone(305) 585-5400
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 24, 2007
Last NPPES UpdateJune 14, 2024
NPPES CertifiedJune 14, 2024
✔ NPI 1467507285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · OS8097
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS 8097 (FL)
1611 N.W. 12TH AVENUE., Miami, FL 33136
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Girmachew Truneh D.o. 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 ID7719971811
PECOS Enrollment IDI20040412001447
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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
97 services95 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

87.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.73
Improvement Activities40
Cost60.03

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 Girmachew Truneh's NPI number?

The NPI number for Girmachew Truneh is 1467507285. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Girmachew Truneh located?

Girmachew Truneh practices at 1611 N.W. 12th Avenue. Jackson Memorial Hospital, Miami, FL 33136. The listed phone number is (305) 585-5400.

What is Girmachew Truneh's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Girmachew Truneh enrolled in Medicare?

Yes. Girmachew Truneh 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.

What insurance does Girmachew Truneh accept?

Health plans from Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Girmachew Truneh 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 Girmachew Truneh affiliated with any hospitals?

According to CMS data, Girmachew Truneh is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Girmachew Truneh was last updated on June 14, 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.