ENDALE SISAY MENGESHA MD
NPI 1528556891
Hospitalist in Atlanta, GA
About Endale Sisay Mengesha Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ENDALE SISAY MENGESHA MD (NPI 1528556891) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (87816) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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
Endale Sisay 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.
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northside Hospital
Acute Care Hospitals · Atlanta, GAPiedmont Fayette Hospital
Acute Care Hospitals · Fayetteville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30309 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ATLANTA, GA 30309
ATLANTA, GA 30309
ATLANTA, GA 30309
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 Endale Mengesha's NPI number?
The NPI number for Endale Mengesha is 1528556891. It was assigned to this individual provider in the NPPES registry on April 23, 2018.
Where is Endale Mengesha located?
Endale Mengesha practices at 1968 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (404) 367-3014.
What is Endale Mengesha's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Endale Mengesha enrolled in Medicare?
Yes. Endale 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.
What insurance does Endale Mengesha accept?
Health plans from Alliant Health Plans, Inc. list Endale 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 Endale Mengesha affiliated with any hospitals?
According to CMS data, Endale Mengesha is affiliated with Northside Hospital and Piedmont Fayette Hospital.
When was this NPI record last updated?
The NPPES record for Endale Mengesha was last updated on July 2, 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.
# Endale Sisay Mengesha, MD · NPI 1528556891
Hospitalist physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since April 23, 2018.
## Identity
- **NPI:** 1528556891 (Entity type: Individual)
- **Enumerated:** April 23, 2018
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 87816 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1968 PEACHTREE RD NW, Atlanta, GA 30309-1281
- **Phone:** (404) 367-3014
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** July 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1528556891) · Data from the CMS NPPES public registry.