DR. YOHANNES D MENGESHA MD
NPI 1508438540
Internal Medicine in Providence, RI

Q: What is Yohannes Mengesha's NPI number?

The NPI number for Yohannes Mengesha is 1508438540. It was assigned to this individual provider in the NPPES registry on July 10, 2021.

Q: What is Yohannes Mengesha's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Yohannes Mengesha was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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 July 10, 2021PECOS EnrolledAccepts Medicare Assignment

825 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 456-2000 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 2, 2025, Dec 22, 2022, Jul 10, 2021 (3 updates tracked since 2021).

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About Dr. Yohannes D Mengesha Md NPPES

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

DR. YOHANNES D MENGESHA MD (NPI 1508438540) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (LP05466) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and maintains a secondary practice location in Williamsburg.

NPPES Registry Identity

NPI1508438540

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. YOHANNES D MENGESHACredential: MD

Location Address825 CHALKSTONE AVEProvidence, RI 02908-4728

Mailing Address825 Chalkstone AveProvidence, RI 02908-4728 · (401) 456-2000

Phone(401) 456-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 10, 2021

Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration

NPPES CertifiedDecember 2, 2025

✔ NPI 1508438540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in RI · LP05466

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.

Also ListedHospitalistTaxonomy 208M00000X · License 0101280957 (VA)

825 CHALKSTONE AVE, Providence, RI 02908

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Secondary Practice Location 1

Location 1100 Sentara Cir Rm 2CWilliamsburg, VA 23188-5713 · Phone (757) 984-7217 · Fax (757) 984-7210

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Yohannes D Mengesha Md 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 ID2062886807

PECOS Enrollment IDI20241115000520

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 Yohannes Mengesha reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine Associates P.A., P.C.

368 mi

Emergency Medicine

3300 GALLOWS RD
Falls Church, VA 22042

Reassigned Medicare billing, Virginia enrollment
1,294 clinicians in this Medicare group

NPI 1134117393 (703) 776-4001

Sentara Medical Group

428 mi

Family Medicine

824 N MILITARY HWY STE 100
Norfolk, VA 23502

Reassigned Medicare billing, Virginia enrollment
1,901 clinicians in this Medicare group

NPI 1265485270 (757) 252-2900

Mcv Associated Physicians

436 mi

Anesthesiology

1250 E MARSHALL ST, MAIN 1-214, BOX 980510
Richmond, VA 23298

Reassigned Medicare billing, Virginia enrollment
2,481 clinicians in this Medicare group

NPI 1710959457 (804) 828-8707

Southeastern Intensivist Services PC

1,113 mi

Hospitalist

2100 N 7TH ST
West Memphis, AR 72301

Reassigned Medicare billing, Virginia enrollment
528 clinicians in this Medicare group

NPI 1912942665 (870) 733-3020

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 4

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 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.

161 services72 patients

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.

60 services31 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

59 services56 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.

20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490020

Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County

Emergency services

Bon Secours Memorial Regional Medical Center

Acute Care Hospitals · Mechanicsville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490069

Location8260 Atlee RoadMechanicsville, VA 23116 · Hanover County

Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490084

Location618 Hospital RoadTappahannock, VA 22560 · Essex County

Emergency services

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490098

Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County

Emergency services Birthing friendly

Cjw Medical Center

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number490112

Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

DR. TODD F ROBERTS MD

Internal Medicine (Medical Oncology)

825 CHALKSTONE AVE
PROVIDENCE, RI 02908

Providence County (401) 456-6565

DR. WILLIAM ARTHUR YELLE MD

Anesthesiology

825 CHALKSTONE AVE
PROVIDENCE, RI 02908

Providence County (401) 456-2000

IAN M JACOBSON MD

Emergency Medicine

825 CHALKSTONE AVE
PROVIDENCE, RI 02908

Providence County (330) 493-4443

PROSPECT CHARTERCARE RWMC, LLC

General Acute Care Hospital

825 CHALKSTONE AVE
PROVIDENCE, RI 02908

Providence County (401) 456-2000

N PETER LIBBEY M.D.

Pathology (Anatomic Pathology)

825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT.
PROVIDENCE, RI 02908

Providence County (401) 456-2162

GARRICK MARK WHITLOCK CRNA

Nurse Anesthetist, Certified Registered

825 CHALKSTONE AVE
PROVIDENCE, RI 02908

Providence County (401) 456-2000

VALERIE JEAN ZUERCHER

Social Worker (Clinical)

825 CHALKSTONE AVE
PROVIDENCE, RI 02908

Providence County (401) 456-4807

MAIMOONA HAROON MEMON MD

Internal Medicine

825 CHALKSTONE AVE
PROVIDENCE, RI 02908

Providence County (401) 456-2000

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 Yohannes Mengesha's NPI number?

The NPI number for Yohannes Mengesha is 1508438540. It was assigned to this individual provider in the NPPES registry on July 10, 2021.

Where is Yohannes Mengesha located?

Yohannes Mengesha practices at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 456-2000.

What is Yohannes Mengesha's specialty?

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

Is Yohannes Mengesha enrolled in Medicare?

Yes. Yohannes Mengesha 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.

Which organizations bill Medicare for Yohannes Mengesha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yohannes Mengesha reassigns Medicare benefits to 4 organizations: Emergency Medicine Associates P.A., P.C. (Falls Church, VA), Sentara Medical Group (Norfolk, VA), Mcv Associated Physicians (Richmond, VA) and Southeastern Intensivist Services PC (West Memphis, AR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yohannes Mengesha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yohannes Mengesha accept?

Health plans from Oscar Health list Yohannes Mengesha 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 Yohannes Mengesha affiliated with any hospitals?

According to CMS data, Yohannes Mengesha is affiliated with John Randolph Medical Center, Bon Secours Memorial Regional Medical Center, Vcu Health Tappahannock Hospital, Community Memorial Hospital and Cjw Medical Center.

When was this NPI record last updated?

The NPPES record for Yohannes Mengesha was last updated on December 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.