REDIET HAILESELASSIE MD
NPI 1710548763
General Practice in Galveston, TX

Active since June 20, 2019PECOS Enrolled
301 UNIVERSITY BLVD, GALVESTON, TX 77555(409) 744-4030(409) 740-4187 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Rediet Haileselassie Md NPPES

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

REDIET HAILESELASSIE MD (NPI 1710548763) is an individual general practice provider in Galveston, Texas, licensed in Texas (T3476) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710548763
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameREDIET HAILESELASSIECredential: MD
Location Address301 UNIVERSITY BLVDGalveston, TX 77555-1250
Mailing Address301 University BlvdGalveston, TX 77555-1250 · (409) 744-4030 · Fax (409) 740-4187
Fax(409) 740-4187
Sole ProprietorNo
Enumeration DateJune 20, 2019
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
NPI 1710548763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in TX · T3476
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License BP10067100 (TX)
301 UNIVERSITY BLVD, Galveston, TX 77555

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Rediet Haileselassie 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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services56 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
52 services34 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services39 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

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.

Nurse Practitioner (Pediatrics)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Nurse Practitioner (Neonatal)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Surgery (Trauma Surgery)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Internal Medicine
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Psychiatry & Neurology (Neurology)
301 UNIVERSITY BLVD, JSA 9.128
GALVESTON, TX 77555
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Internal Medicine (Endocrinology, Diabetes & Metabolism)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555

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 Rediet Haileselassie's NPI number?

The NPI number for Rediet Haileselassie is 1710548763. It was assigned to this individual provider in the NPPES registry on June 20, 2019.

Where is Rediet Haileselassie located?

Rediet Haileselassie practices at 301 University Blvd, Galveston, TX 77555. The listed phone number is (409) 744-4030.

What is Rediet Haileselassie's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Rediet Haileselassie enrolled in Medicare?

Yes. Rediet Haileselassie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rediet Haileselassie was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.