Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

FITSUM GEMECHU MD
NPI 1700703014
Student in an Organized Health Care Education/Training Program in Port Huron, MI

Q: What is Fitsum Gemechu's NPI number?

The NPI number for Fitsum Gemechu is 1700703014. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Q: What is Fitsum Gemechu'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 Fitsum Gemechu was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 30, 2026PECOS Enrolled

1216 RICHARDSON ST, PORT HURON, MI 48060(810) 985-2640 Get Directions Write a Review

NPPES record added: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Fitsum Gemechu Md NPPES

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

FITSUM GEMECHU MD (NPI 1700703014) is an individual student in an organized health care education/training program in Port Huron, Michigan, licensed in Michigan (4351055778) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700703014

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameFITSUM GEMECHUCredential: MD

Location Address1216 RICHARDSON STPort Huron, MI 48060-3549

Mailing Address1216 Richardson StPort Huron, MI 48060-3549 · (810) 985-2640

Phone(810) 985-2640

Sole ProprietorNo

Enumeration DateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1700703014 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

License✔ Licensed in MI · 4351055778

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.

1216 RICHARDSON ST, Port Huron, MI 48060

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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)

Fitsum Gemechu 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.

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.

ASSOCIATES FOR INTERNAL MEDICINE, P.C.

Internal Medicine