Tesfaye Gmichael
Secured Medical Transport (VAN) in Austin, TX. Individual provider (NPI-1).
NPI number1740923598
StatusActive
Last updated in NPPESFeb 3, 2023
Details
- NPI
- 1740923598
- Entity type
- Individual (NPI-1)
- Name
- Tesfaye Gmichael
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2022
- Certification date
- Feb 3, 2023
- Last updated
- Feb 3, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343800000X | Secured Medical Transport (VAN) | – | – | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | – | – |
Practice location
11128 Liberty Farms DrAustin, TX 78754-5972
Phone 512-577-8743
Mailing address
11128 Liberty Farms DrAustin, TX 78754-5972
Phone 512-577-8743
Is something wrong?
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