DR. SENAIT FREMICHAEL EFREM
NPI 1730593898
Family Medicine in Durham, NC
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
Specialties & Licenses
Secondary Practice Location 1
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.
Medicare Billing Reassignments
2Medicare 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.
Durham, NC 27705
- Reassigned Medicare billing, North Carolina enrollment
- 636 clinicians in this Medicare group
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.
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.
DURHAM, NC 27705
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.