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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABEBAW AMSALE
NPI 1477258200
Internal Medicine in Lubbock, TX

Active since April 03, 2023PECOS Enrolled
3615 19TH ST, LUBBOCK, TX 79410(806) 725-0000 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 14, 2026, Apr 3, 2023 (2 updates tracked since 2023).

About Abebaw Amsale NPPES

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

ABEBAW AMSALE (NPI 1477258200) is an individual internal medicine provider in Lubbock, Texas, licensed in Texas (W5725) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477258200
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameABEBAW AMSALE
Location Address3615 19TH STLubbock, TX 79410-1209
Mailing Address3615 19th StLubbock, TX 79410-1203
Phone(806) 725-0000
Sole ProprietorNo
Enumeration DateApril 3, 2023
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1477258200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · W5725
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.
3615 19TH ST, Lubbock, TX 79410
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Abebaw Amsale is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

MUSTAFA ALY MD
Internal Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4130
BARBARA KATHLEEN PARKER RN
Registered Nurse
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-4644
BRANDON THOMAS
Registered Nurse
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-0000
DR. HUGH H PAIK MD
Pathology (Anatomic Pathology & Clinical Pathology)
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 744-1887
COVENANT HEALTH SYSTEM
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-1011
MISS JAMIE LEIGH HOCKER MS, RD, LD
Dietitian, Registered
3615 19TH ST, THE LIFESTYLE CENTRE
LUBBOCK, TX 79410
Lubbock County (806) 725-4386
TERESA M WELCH APRN
Nurse Practitioner (Acute Care)
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-0000
SCOTT ALAN LETBETTER JR. M.D.
Emergency Medicine
3615 19TH ST
LUBBOCK, TX 79410
Lubbock County (806) 725-2233

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 Abebaw Amsale's NPI number?

The NPI number for Abebaw Amsale is 1477258200. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Abebaw Amsale located?

Abebaw Amsale practices at 3615 19th St, Lubbock, TX 79410. The listed phone number is (806) 725-0000.

What is Abebaw Amsale's specialty?

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

Is Abebaw Amsale enrolled in Medicare?

Yes. Abebaw Amsale is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Abebaw Amsale was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.