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MINALESHOA H ABYE M.D
NPI 1700025780
Pediatrics in Tracy, CA

Active since February 13, 2009PECOS Enrolled
2151 W GRANT LINE RD, TRACY, CA 95377(209) 832-0535 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Minaleshoa H Abye M.d NPPES

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

MINALESHOA H ABYE M.D (NPI 1700025780) is an individual pediatrics provider in Tracy, California, licensed in California (A 105237) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700025780
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMINALESHOA H ABYECredential: M.D
Location Address2151 W GRANT LINE RDTracy, CA 95377-7309
Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 521-6097 · Fax (209) 521-4081
Phone(209) 832-0535
Sole ProprietorNo
Enumeration DateFebruary 13, 2009
Last NPPES UpdateDecember 21, 2021
✔ NPI 1700025780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · A 105237✔ Licensed in GA · 063158✔ Licensed in AL · 30738
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2151 W GRANT LINE RD, Tracy, CA 95377
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minaleshoa H Abye M.d 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.

Medicare Billing Reassignment

Medicare enrollment records show Minaleshoa Abye reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
20 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95377 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

DAISY YONZON JONES DO
Pediatrics
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 832-0535
JUAN JOSE JUVENAL VERGARA SAAVEDRA M.D.
Internal Medicine
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 832-0535
COMMUNITY MEDICAL CENTERS INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 820-1500
ROBERT R WILLIAMS M.D.
Internal Medicine
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 832-0535
ANITA XUE M.D.
Anesthesiology
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 832-0535
KHOSROW VAKHSHOURI M.D.
Family Medicine
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 832-0535
SYDNEY BREE HANSEN MS, RD
Dietitian, Registered
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 820-1500
CHRISTOPHER ROBERT FOSSACECA MD
Anesthesiology
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 832-0535

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 Minaleshoa Abye's NPI number?

The NPI number for Minaleshoa Abye is 1700025780. It was assigned to this individual provider in the NPPES registry on February 13, 2009.

Where is Minaleshoa Abye located?

Minaleshoa Abye practices at 2151 W Grant Line Rd, Tracy, CA 95377. The listed phone number is (209) 832-0535.

What is Minaleshoa Abye's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Minaleshoa Abye enrolled in Medicare?

Yes. Minaleshoa Abye is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Minaleshoa Abye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Minaleshoa Abye reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Minaleshoa Abye'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 Minaleshoa Abye was last updated on December 21, 2021. 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.