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DR. SEFANIT GEBRETSADIK M.D
NPI 1770825861
Internal Medicine in Frisco, TX

Active since March 26, 2013PECOS Enrolled
4645 AVON LN STE 215, FRISCO, TX 75033(903) 990-0001 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 20, 2021, May 11, 2021, Nov 12, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Sefanit Gebretsadik M.d NPPES

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

DR. SEFANIT GEBRETSADIK M.D (NPI 1770825861) is an individual internal medicine provider in Frisco, Texas, licensed in Texas (S8560) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770825861
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SEFANIT GEBRETSADIKCredential: M.D
Location Address4645 AVON LN STE 215Frisco, TX 75033-1614
Mailing Address190 E Stacy Rd Ste 306139Allen, TX 75002-8734 · (404) 939-3752
Phone(903) 990-0001
Sole ProprietorYes
Enumeration DateMarch 26, 2013
Last NPPES UpdateOctober 20, 20214 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
✔ NPI 1770825861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · S8560✔ Licensed in MI · 4301503221✔ Licensed in OH · 35.140750✔ Licensed in ID · M-15420✔ Licensed in GA · 069596✔ Licensed in OK · 37365
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 69596 (GA)
4645 AVON LN STE 215, Frisco, TX 75033
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sefanit Gebretsadik M.d 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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
368 services134 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
216 services110 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
149 services145 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
83 services82 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
13 services13 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75033 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 2

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

DOCTORS WITHIN REACH PLLC
Internal Medicine
4645 AVON LN STE 215
FRISCO, TX 75033
Denton County (404) 939-3752
PROSPER RHEUMATOLOGY PLLC
Internal Medicine (Rheumatology)
4645 AVON LN STE 215
FRISCO, TX 75033
Denton County (469) 666-0165

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 Sefanit Gebretsadik's NPI number?

The NPI number for Sefanit Gebretsadik is 1770825861. It was assigned to this individual provider in the NPPES registry on March 26, 2013.

Where is Sefanit Gebretsadik located?

Sefanit Gebretsadik practices at 4645 Avon Ln Ste 215, Frisco, TX 75033. The listed phone number is (903) 990-0001.

What is Sefanit Gebretsadik's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sefanit Gebretsadik enrolled in Medicare?

Yes. Sefanit Gebretsadik is registered in the Medicare PECOS enrollment system.

What insurance does Sefanit Gebretsadik accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Sefanit Gebretsadik 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 Sefanit Gebretsadik was last updated on October 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.