DR. ASHENAFI AYELE LEGESSE M.D
NPI 1992149231
Internal Medicine in Fresno, CA

Q: What is Ashenafi Legesse's NPI number?

The NPI number for Ashenafi Legesse is 1992149231. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Q: What is Ashenafi Legesse's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ashenafi Legesse was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since April 17, 2013PECOS Enrolled

7202 N MILLBROOK AVE STE 202, FRESNO, CA 93720(559) 664-4000 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Ashenafi Ayele Legesse M.d NPPES

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

DR. ASHENAFI AYELE LEGESSE M.D (NPI 1992149231) is an individual internal medicine provider in Fresno, California, licensed in California (A138206) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992149231

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. ASHENAFI AYELE LEGESSECredential: M.D

Location Address7202 N MILLBROOK AVE STE 202Fresno, CA 93720-3341

Mailing Address730 N I St Ste 202Madera, CA 93637-3077 · (559) 664-4000

Phone(559) 664-4000

Sole ProprietorNo

Enumeration DateApril 17, 2013

Last NPPES UpdateJanuary 24, 2025

NPPES CertifiedJanuary 24, 2025

✔ NPI 1992149231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A138206

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.

7202 N MILLBROOK AVE STE 202, Fresno, CA 93720

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ashenafi Ayele Legesse 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.

Medicare Billing Reassignments

Medicare enrollment records show Ashenafi Legesse reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Camarena Health

Same address

Federally Qualified Health Center (FQHC)

7202 N MILLBROOK AVE STE 202
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
142 clinicians in this Medicare group

NPI 1841815347 (559) 664-4000

Vituity Hospitalists PC

0.2 mi

Hospitalist

1303 E HERNDON AVE
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
182 clinicians in this Medicare group

NPI 1285111658 (559) 450-3000

Central California Hospital Medicine Group Inc

0.4 mi

Internal Medicine

1111 E WARNER AVE STE 101
Fresno, CA 93710

Reassigned Medicare billing, California enrollment
23 clinicians in this Medicare group

NPI 1861023715 (559) 512-7313

Galen Inpatient Physicians PC

0.5 mi

Hospitalist

1303 E HERNDON AVE
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
962 clinicians in this Medicare group

NPI 1407679194 (559) 450-3000

3 Musketeers Medical Group, A Medical Corporation

1.2 mi

Internal Medicine

7455 N FRESNO ST STE 202
Fresno, CA 93720

Reassigned Medicare billing, California enrollment
5 clinicians in this Medicare group

NPI 1306561030 (559) 942-1223

Long Term Care Medical Group, Inc

2.3 mi

Internal Medicine

685 W ALLUVIAL AVE STE 103
Fresno, CA 93711

Reassigned Medicare billing, California enrollment
76 clinicians in this Medicare group

NPI 1356479877 (559) 499-1233

Permanente Medical Group Inc

117 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Hospital Medicine Of California Inc

193 mi

Hospitalist

7300 MEDICAL CENTER DR
West Hills, CA 91307

Reassigned Medicare billing, California enrollment
94 clinicians in this Medicare group

NPI 1770037236 (818) 712-4100

Hospitalist Medicine Physicians Of California, Inc

212 mi

Internal Medicine

18300 US HIGHWAY 18
Apple Valley, CA 92307

Reassigned Medicare billing, California enrollment
914 clinicians in this Medicare group

NPI 1184663965 (760) 946-4233

Superior Hospitalist Medical Group Inc

219 mi

Hospitalist

1680 E 120TH ST
Los Angeles, CA 90059

Reassigned Medicare billing, California enrollment
198 clinicians in this Medicare group

NPI 1780047712 (330) 493-4443

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 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.

870 services178 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.

151 services145 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.

142 services136 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

139 services135 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

107 services102 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

97 services53 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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

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

CAMARENA HEALTH

Clinic/Center (Federally Qualified Health Center (FQHC))

7202 N MILLBROOK AVE STE 202
FRESNO, CA 93720

Fresno County (559) 664-4000

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 Ashenafi Legesse's NPI number?

The NPI number for Ashenafi Legesse is 1992149231. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Ashenafi Legesse located?

Ashenafi Legesse practices at 7202 N Millbrook Ave Ste 202, Fresno, CA 93720. The listed phone number is (559) 664-4000.

What is Ashenafi Legesse's specialty?

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

Is Ashenafi Legesse enrolled in Medicare?

Yes. Ashenafi Legesse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ashenafi Legesse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashenafi Legesse reassigns Medicare benefits to 10 organizations: Camarena Health (Fresno, CA), Vituity Hospitalists PC (Fresno, CA), Central California Hospital Medicine Group Inc (Fresno, CA), Galen Inpatient Physicians PC (Fresno, CA), 3 Musketeers Medical Group, A Medical Corporation (Fresno, CA) and 5 more organizations, listed in the Medicare section above. 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 Ashenafi Legesse'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 Ashenafi Legesse was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.