FITSUMBERHAN GIRMA MEDHANE
NPI 1740643154
Student in an Organized Health Care Education/Training Program in Bronx, NY
About Fitsumberhan Girma Medhane NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FITSUMBERHAN GIRMA MEDHANE (NPI 1740643154) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Monroe, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Fitsumberhan Girma Medhane 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 Reassignment
Medicare enrollment records show Fitsumberhan Medhane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sammamish, WA 98074
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: King County Public Hospital District No 2
- 1,074 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.
Areas of Expertise CMS Part B claims 18
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Evergreenhealth Monroe
Acute Care Hospitals · Monroe, WAEvergreenhealth Medical Center
Acute Care Hospitals · Kirkland, WAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
BRONX, NY 10461
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 Fitsumberhan Medhane's NPI number?
The NPI number for Fitsumberhan Medhane is 1740643154. It was assigned to this individual provider in the NPPES registry on April 2, 2016.
Where is Fitsumberhan Medhane located?
Fitsumberhan Medhane practices at 1400 Pelham Pkwy S, Bronx, NY 10461. The listed phone number is (718) 918-5640.
What is Fitsumberhan Medhane's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Fitsumberhan Medhane enrolled in Medicare?
Yes. Fitsumberhan Medhane 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 organization bills Medicare for Fitsumberhan Medhane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fitsumberhan Medhane reassigns Medicare benefits to Public Hospital District No 2 (Sammamish, WA). 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 Fitsumberhan Medhane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fitsumberhan Medhane accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Fitsumberhan Medhane 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.
Is Fitsumberhan Medhane affiliated with any hospitals?
According to CMS data, Fitsumberhan Medhane is affiliated with Evergreenhealth Monroe and Evergreenhealth Medical Center.
When was this NPI record last updated?
The NPPES record for Fitsumberhan Medhane was last updated on April 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Fitsumberhan Girma Medhane · NPI 1740643154
Student in an Organized Health Care Education/Training Program provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since April 2, 2016.
## Identity
- **NPI:** 1740643154 (Entity type: Individual)
- **Enumerated:** April 2, 2016
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 PELHAM PKWY S, Bronx, NY 10461-1138
- **Phone:** (718) 918-5640 · **Fax:** (718) 918-3174
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Public Hospital District No 2 (NPI 1417058694, Sammamish, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** April 2, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1740643154) · Data from the CMS NPPES public registry.