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SENTAYEHU KASSA MD NPI 1174507313


NPI Information

NPI: 1174507313
Provider Name: SENTAYEHU KASSA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: DALLAS COUNTY HOSPITAL DISTRICT

PECOS Registration: Yes

Address:
8224 PARK LN STE 130
VICKERY HEALTH CENTER
DALLAS, TX
ZIP 75231
Phone: (214) 266-0350
Get Directions

Sentayehu Kassa, MD is a family medicine in Dallas, TX with 39 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Sentayehu Kassa, MD NPI is 1174507313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8224 PARK LN STE 130
VICKERY HEALTH CENTER
DALLAS, TX
ZIP 75231-021
Phone: (214) 266-0350
Fax: (214) 696-3776

The NPI 1174507313 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/1/2005 and was last updated on 11/10/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineK6620TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1107492405MEDICAIDTEXAS
284678FOTHERTEXASBLUE CROSS BLUE SHIELD
3107492401MEDICAIDTEXAS
4107492406MEDICAIDTEXAS
5107492407MEDICAIDTEXAS
6107492410MEDICAIDTEXAS
7107492414MEDICAIDTEXAS
884678FMEDICARE PINTEXAS
9107492409MEDICAIDTEXAS
10107492408MEDICAIDTEXAS
11107492411MEDICAIDTEXAS
12107492412MEDICAIDTEXAS
13107492404MEDICAIDTEXAS
14107492413MEDICAIDTEXAS
15H01783MEDICARE UPINTEXAS
16107492403MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.