THOMAS RAINEY MENGESHA II MD
NPI 1659076776
Student in an Organized Health Care Education/Training Program in Columbus, OH

Q: What is Thomas Mengesha's NPI number?

The NPI number for Thomas Mengesha is 1659076776. It was assigned to this individual provider in the NPPES registry on March 31, 2023.

Q: What is Thomas Mengesha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Mengesha was last updated on March 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2023PECOS Enrolled

395 W 12TH AVE FL 3, COLUMBUS, OH 43210(614) 293-3989(614) 293-9789 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Thomas Rainey Mengesha Ii Md NPPES

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

THOMAS RAINEY MENGESHA II MD (NPI 1659076776) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659076776

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTHOMAS RAINEY MENGESHA IICredential: MD

Location Address395 W 12TH AVE FL 3Columbus, OH 43210-1267

Mailing Address395 W 12th Ave Fl 3Columbus, OH 43210-1267 · (614) 293-3989 · Fax (614) 293-9789

Phone(614) 293-3989

Fax(614) 293-9789

Sole ProprietorNo

Enumeration DateMarch 31, 2023

NPPES CertifiedMarch 31, 2023

✔ NPI 1659076776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

395 W 12TH AVE FL 3, Columbus, OH 43210

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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)

Thomas Rainey Mengesha Ii Md 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.

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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.

CODY NICHOLAS JUSTICE

Student in an Organized Health Care Education/Training Program