TESFAY MEZGEBE HAILU
NPI 1497377949
Physician Assistant - Medical in Peoria, AZ

Active since May 07, 2020PECOS EnrolledAccepts Medicare Assignment
13350 N 94TH DR STE A101, PEORIA, AZ 85381(623) 974-1500 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2021, May 17, 2021, Sep 29, 2020 and 2 more (5 updates tracked since 2020).

About Tesfay Mezgebe Hailu NPPES

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

TESFAY MEZGEBE HAILU (NPI 1497377949) is an individual medical provider in Peoria, Arizona, licensed in Arizona (7946) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare White Oak Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497377949
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTESFAY MEZGEBE HAILU
Location Address13350 N 94TH DR STE A101Peoria, AZ 85381-4826
Mailing Address2700 Shanandale DrSilver Spring, MD 20904-1632
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 7, 2020
Last NPPES UpdateApril 1, 20225 updates tracked since enumeration
NPPES CertifiedApril 1, 2022
NPI 1497377949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 7946
Also ListedPhysician AssistantTaxonomy 363A00000X
13350 N 94TH DR STE A101, Peoria, AZ 85381

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

Tesfay Mezgebe Hailu 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 ID7012336217
PECOS Enrollment IDI20220921000877
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.
273 services190 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.
210 services172 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.
191 services144 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.
125 services124 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
123 services123 patients

Hospital Affiliations CMS Care Compare

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

Adventist Healthcare White Oak Medical Center

Acute Care Hospitals · Silver Spring, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210016
Location11890 Healing WaySilver Spring, MD 20904 · Montgomery County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

Hospitalist
13350 N 94TH DR STE A101
PEORIA, AZ 85381
Hospitalist
13350 N 94TH DR STE A101
PEORIA, AZ 85381
Internal Medicine
13350 N 94TH DR STE A101
PEORIA, AZ 85381
Internal Medicine
13350 N 94TH DR STE A101
PEORIA, AZ 85381

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 Tesfay Hailu's NPI number?

The NPI number for Tesfay Hailu is 1497377949. It was assigned to this individual provider in the NPPES registry on May 7, 2020.

Where is Tesfay Hailu located?

Tesfay Hailu practices at 13350 N 94th Dr Ste A101, Peoria, AZ 85381. The listed phone number is (623) 974-1500.

What is Tesfay Hailu's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tesfay Hailu enrolled in Medicare?

Yes. Tesfay Hailu 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.

Is Tesfay Hailu affiliated with any hospitals?

According to CMS data, Tesfay Hailu is affiliated with Adventist Healthcare White Oak Medical Center.

When was this NPI record last updated?

The NPPES record for Tesfay Hailu was last updated on April 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.