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Jerusalem Desalgn Derbew

Driver β€’ Dallas, TX

Active NPI 1235982778 Individual Practitioner Female Practitioner
Practice location in NPPES

12225 Greenville Ave Ste 703
Dallas, TX 752439362

Call 4697487775 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12225 Greenville Ave Ste 703

Dallas, TX 752439362

Telephone 4697487775
Organization at the Same NPPES Address or Phone
Jeda Ride Transportation Llc Facility NPI 1508605833

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Dallas, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dallas and Texas

26 active clinicians are listed under Driver with a practice address in Dallas, TX (496 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dallas

0% of these 26 clinicians have the CMS telehealth indicator.

0% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-24
Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

License # reported to NPPES TX 99-1864371

A person employed to operate a motor vehicle as a carrier of persons or property.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Secondary Practice Locations

8250 Meadow Rd # 6314

Dallas, TX 752313745

Phone: 4697487775

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated May 24, 2024

Recorded as JERUSALEM DERBEW

βœ…
NPI Profile Active April 05, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 05, 2024

Registered at 12225 GREENVILLE AVE STE 703, DALLAS, TX 752439362 (Tel: 4697487775)

πŸ“
Business Mailing Address (Initial Record) April 05, 2024

Registered at 8250 MEADOW RD # 6314, DALLAS, TX 752313745 (Tel: 4697487775)

πŸ‘€
Provider Name / Credentials (Initial Record) April 05, 2024

Recorded as EYERUSALEM DERBEW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2024

Driver (license number reported to NPPES: TX 99-1864371)

🟒
Initial NPI Registration & Enumeration April 05, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235982778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2024
Last Update: May 24, 2024
Sole Proprietor: No

Mailing Address

8250 Meadow Rd # 6314

Dallas, TX 752313745

Phone: 2147910536

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.