DR. SILESHI MIHERET FENTA MD
NPI 1891283016
Hospitalist in Gainesville, GA
About Dr. Sileshi Miheret Fenta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SILESHI MIHERET FENTA MD (NPI 1891283016) is an individual hospitalist provider in Gainesville, Georgia, licensed in Georgia (87749) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Northeast Georgia Medical Center, Inc, and maintains a secondary practice location in Atlanta.
NPPES Registry Identity
Specialties & Licenses 2
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. Sileshi Miheret Fenta Md 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 Sileshi Fenta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gainesville, GA 30501
- Reassigned Medicare billing, Georgia enrollment
- 1,172 clinicians in this Medicare group
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 635 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 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northeast Georgia Medical Center, Inc
Acute Care Hospitals · Gainesville, GANortheast Georgia Medical Center Habersham
Acute Care Hospitals · Demorest, GAUnion General Hospital
Acute Care Hospitals · Blairsville, GANortheast Georgia Medical Center Lumpkin
Acute Care Hospitals · Dahlonega, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Sileshi Fenta's NPI number?
The NPI number for Sileshi Fenta is 1891283016. It was assigned to this individual provider in the NPPES registry on April 23, 2018.
Where is Sileshi Fenta located?
Sileshi Fenta practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 219-9000.
What is Sileshi Fenta's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Sileshi Fenta enrolled in Medicare?
Yes. Sileshi Fenta 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 Sileshi Fenta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sileshi Fenta reassigns Medicare benefits to 2 organizations: Northeast Georgia Physicians Group Inc (Gainesville, GA) and Cogent Healthcare Of Georgia PC (Macon, GA). 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 Sileshi Fenta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sileshi Fenta accept?
Health plans from Alliant Health Plans, Inc. list Sileshi Fenta 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 Sileshi Fenta affiliated with any hospitals?
According to CMS data, Sileshi Fenta is affiliated with Northeast Georgia Medical Center, Inc, Northeast Georgia Medical Center Habersham, Union General Hospital and Northeast Georgia Medical Center Lumpkin.
When was this NPI record last updated?
The NPPES record for Sileshi Fenta was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Sileshi Miheret Fenta, MD · NPI 1891283016
Hospitalist physician in Gainesville, Georgia. Individual provider, active in the CMS NPPES registry since April 23, 2018.
## Identity
- **NPI:** 1891283016 (Entity type: Individual)
- **Enumerated:** April 23, 2018
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 87749 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 743 SPRING ST NE, Gainesville, GA 30501-3715
- **Phone:** (770) 219-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northeast Georgia Physicians Group Inc (NPI 1891745212, Gainesville, GA); Cogent Healthcare Of Georgia PC (NPI 1609827823, Macon, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** August 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1891283016) · Data from the CMS NPPES public registry.