SEMHAR HAILEMICAEL
NPI 1942605282
Nurse Practitioner - Pediatrics in San Jose, CA
About Semhar Hailemicael NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SEMHAR HAILEMICAEL (NPI 1942605282) is an individual pediatrics provider in San Jose, California, licensed in California (NP95001337) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Semhar Hailemicael is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Semhar Hailemicael reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95128
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1629301346 (California)
- 2,460 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 95128 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
SAN JOSE, CA 95128
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 Semhar Hailemicael's NPI number?
The NPI number for Semhar Hailemicael is 1942605282. It was assigned to this individual provider in the NPPES registry on October 29, 2014.
Where is Semhar Hailemicael located?
Semhar Hailemicael practices at 750 S Bascom Ave, San Jose, CA 95128. The listed phone number is (669) 299-8888.
What is Semhar Hailemicael's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Semhar Hailemicael enrolled in Medicare?
Yes. Semhar Hailemicael is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Semhar Hailemicael's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Semhar Hailemicael reassigns Medicare benefits to County Of Santa Clara (San Jose, CA). 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 Semhar Hailemicael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Semhar Hailemicael was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Semhar Hailemicael · NPI 1942605282
Pediatrics physician in San Jose, California. Individual provider, active in the CMS NPPES registry since October 29, 2014.
## Identity
- **NPI:** 1942605282 (Entity type: Individual)
- **Enumerated:** October 29, 2014
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** NP95001337 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 750 S BASCOM AVE, San Jose, CA 95128-2603
- **Phone:** (669) 299-8888
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** County Of Santa Clara (NPI 1972598449, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942605282) · Data from the CMS NPPES public registry.