Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tesfay Mezgebe Hailu

Individual provider Physician Assistant · NPI 1497377949

Tesfay Mezgebe Hailu is a Physician Assistant in Peoria, Arizona. Qualified in 2019, 7 years ago. Practices with Usacs Integrated Acute Care Services of Maryland LLC, a 182-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

13350 N 94th Dr Ste A101
Peoria, AZ 85381-4826
Phone: (623) 974-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 7946 (AZ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1497377949
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 7, 2020
Last updated in NPPESApril 1, 2022
Certification dateApril 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Usacs Integrated Acute Care Services Of Maryland Llc — 182 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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