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KALKIDAN SHIFERAW
NPI 1467942151
Internal Medicine in Brooklyn, NY

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
585 SCHENECTADY AVE, BROOKLYN, NY 11203(718) 363-6771 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2021, May 18, 2018 (2 updates tracked since 2018).

About Kalkidan Shiferaw NPPES

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

KALKIDAN SHIFERAW (NPI 1467942151) is an individual internal medicine provider in Brooklyn, New York, licensed in Tennessee (62679) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1467942151
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKALKIDAN SHIFERAW
Location Address585 SCHENECTADY AVEBrooklyn, NY 11203-1822
Mailing Address585 Schenectady AveBrooklyn, NY 11203-1822 · (718) 363-6771
Phone(718) 363-6771
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 17, 2018
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedJuly 8, 2021
✔ NPI 1467942151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 62679
Definition
A 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.
585 SCHENECTADY AVE, Brooklyn, NY 11203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Kalkidan Shiferaw 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 ID5193127934
PECOS Enrollment IDI20220727001036
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
193 services91 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
141 services61 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
70 services68 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services40 patients
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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers29 claims29 services$21.24 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers35 claims35 services$113.45 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$37.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARIO GUSTAVE M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5281
HIU SHAN LAI PHARM. D.
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5363
MR. ROBERT BUCK RPH
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5363
DR. MARK JEFFREY DRUKARTZ DDS
Dentist (General Practice)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5000
KINGSBROOK JEWISH MEDICAL CENTER
Clinic/Center
585 SCHENECTADY AVE, MANAGED CARE DEPT
BROOKLYN, NY 11203
Kings County (718) 604-5469
MARIE DENISE COLVERT FNP
Nurse Practitioner (Family)
585 SCHENECTADY AVE, EMERGENCY DEPARTMENT
BROOKLYN, NY 11203
Kings County (718) 604-5000
BENJAMIN WEE PHARM.D.
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 363-6651
ELISABETH MARIE-HELENE LESCOUFLAIR M.D
Psychiatry & Neurology (Psychiatry)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5281

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 Kalkidan Shiferaw's NPI number?

The NPI number for Kalkidan Shiferaw is 1467942151. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Kalkidan Shiferaw located?

Kalkidan Shiferaw practices at 585 Schenectady Ave, Brooklyn, NY 11203. The listed phone number is (718) 363-6771.

What is Kalkidan Shiferaw's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kalkidan Shiferaw enrolled in Medicare?

Yes. Kalkidan Shiferaw 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 Kalkidan Shiferaw accept?

Health plans from Medica and Sanford Health Plan list Kalkidan Shiferaw 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 Kalkidan Shiferaw affiliated with any hospitals?

According to CMS data, Kalkidan Shiferaw is affiliated with M Health Fairview St John's Hospital.

When was this NPI record last updated?

The NPPES record for Kalkidan Shiferaw was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.