AMSALE KETEMA MD
NPI 1629049663
Internal Medicine in New York, NY
About Amsale Ketema Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMSALE KETEMA MD (NPI 1629049663) is an individual internal medicine provider in New York, New York, licensed in New York (230638) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amsale Ketema Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Amsale Ketema reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 428 clinicians in this Medicare group
New York, NY 10065
- Reassigned Medicare billing, New York enrollment
- 315 clinicians in this Medicare group
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 7
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10021 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.
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.
NEW YORK, NY 10021
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 Amsale Ketema's NPI number?
The NPI number for Amsale Ketema is 1629049663. It was assigned to this individual provider in the NPPES registry on January 29, 2006.
Where is Amsale Ketema located?
Amsale Ketema practices at 1275 York Ave, New York, NY 10021. The listed phone number is (212) 639-2000.
What is Amsale Ketema's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Amsale Ketema enrolled in Medicare?
Yes. Amsale Ketema is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Amsale Ketema's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amsale Ketema reassigns Medicare benefits to 2 organizations: Memorial Hematology Lymphoma Group (New York, NY) and Memorial Medical Consultation Group (New York, NY). 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 Amsale Ketema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amsale Ketema was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Amsale Ketema, MD · NPI 1629049663
Internal Medicine physician in New York, New York. Individual provider, active in the CMS NPPES registry since January 29, 2006.
## Identity
- **NPI:** 1629049663 (Entity type: Individual)
- **Enumerated:** January 29, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 230638 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1275 YORK AVE, New York, NY 10021-6007
- **Phone:** (212) 639-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Memorial Hematology Lymphoma Group (NPI 1891766366, New York, NY); Memorial Medical Consultation Group (NPI 1053382523, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2015
- **Other identifiers:** Medicare UPIN G85666
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Source: [NPI Profile](https://npiprofile.com/npi/1629049663) · Data from the CMS NPPES public registry.