DR. SENAIT FREMICHAEL EFREM
NPI 1730593898
Family Medicine in Durham, NC

Active since June 17, 2014PECOS EnrolledAccepts Medicare Assignment
1821 HILLANDALE RD STE 24B, DURHAM, NC 27705(919) 383-5437 Get Directions Write a Review

NPPES record last updated: March 19, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2019, Mar 17, 2018, Oct 25, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Senait Fremichael Efrem NPPES

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

DR. SENAIT FREMICHAEL EFREM (NPI 1730593898) is an individual family medicine provider in Durham, North Carolina, licensed in North Carolina (2017-02031) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Westland, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1730593898
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SENAIT FREMICHAEL EFREM
Location Address1821 HILLANDALE RD STE 24BDurham, NC 27705-2671
Mailing Address1821 Hillandale Rd Ste 24bDurham, NC 27705-2671
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 17, 2014
Last NPPES UpdateMarch 19, 20194 updates tracked since enumeration
✔ NPI 1730593898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 2017-02031✔ Licensed in MI · 4301105793
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1821 HILLANDALE RD STE 24B, Durham, NC 27705

Secondary Practice Location 1

Location 12001 S Merriman RdWestland, MI 48186-5539 · Phone (734) 467-1000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Senait Fremichael Efrem is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072812692
PECOS Enrollment IDI20260601000154
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 Reassignments

2

Medicare enrollment records show Senait Efrem reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1821 HILLANDALE RD, STE. 24B
Durham, NC 27705
  • Reassigned Medicare billing, North Carolina enrollment
  • 636 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan and North Carolina enrollments
  • 666 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1821 HILLANDALE RD STE 24B
DURHAM, NC 27705
Family Medicine
1821 HILLANDALE RD STE 24B
DURHAM, NC 27705
Nurse Practitioner
1821 HILLANDALE RD STE 24B
DURHAM, NC 27705
Family Medicine (Adult Medicine)
1821 HILLANDALE RD STE 24B
DURHAM, NC 27705
Social Worker (Clinical)
1821 HILLANDALE RD STE 24B
DURHAM, NC 27705
Nurse Practitioner
1821 HILLANDALE RD STE 24B
DURHAM, NC 27705
Registered Nurse
1821 HILLANDALE RD STE 24B
DURHAM, NC 27705
Family Medicine
1821 HILLANDALE RD STE 24B
DURHAM, NC 27705

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 Senait Efrem's NPI number?

The NPI number for Senait Efrem is 1730593898. It was assigned to this individual provider in the NPPES registry on June 17, 2014.

Where is Senait Efrem located?

Senait Efrem practices at 1821 Hillandale Rd Ste 24B, Durham, NC 27705. The listed phone number is (919) 383-5437.

What is Senait Efrem's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Senait Efrem enrolled in Medicare?

Yes. Senait Efrem is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Senait Efrem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Senait Efrem reassigns Medicare benefits to 2 organizations: Duke University Affiliated Physicians, Inc. (Durham, NC) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Senait Efrem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Senait Efrem accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, CareSource and CareSource (Common Ground Healthcare) and 1 other insurer list Senait Efrem as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Senait Efrem was last updated on March 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.