DR. FIKRE A. MENGISTU (M.D.) – Surgery Physician, NPI 1073812640

DR. FIKRE A. MENGISTU (M.D.) is a healthcare provider. based in Henderson, Nevada. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 16567 (NV). The NPI Number for DR. FIKRE A. MENGISTU (M.D.) is 1073812640

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. FIKRE A. MENGISTU (M.D.)
NPI
1073812640
Phone
(702) 914-2420
Address
10001 S EASTERN AVE STE 310
Enumeration Date
22 March 2011
Last Update Date
24 March 2023

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7029142420
Graduation Year
2011 (15 years ago)
PAC ID
4587883012
Group Practice PAC ID
9537146063
Professional Enrollment ID
I20160802002494
Address ID
NV890523908HE10001AVEX415
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

308 GENERAL SURGERY in NV

Provider Addresses for DR. FIKRE A. MENGISTU (M.D.)

  • 10001 S EASTERN AVE STE 310

    HENDERSON, NV 890523908

    Phone: (702) 914-2420

    Fax: (702) 914-6653

    Type: Mailing

  • 10001 S EASTERN AVE STE 201

    HENDERSON, NV 890523908

    Phone: (702) 914-2420

    Fax: (027) 914-6653

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $395.

Total Amount is formed as General ($395) + Research ($0) + Ownership ($0) = $395.

Last reported payment date: 2024-07-02 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($379).

Total Amount

$395

General + Research + Ownership

Payments

5

Total payment records

General Amount

$395

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160802002494IGeneral SurgeryNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes17460$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9389$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7243$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2323$0
47562Removal of gallbladder using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 89052)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537146063View full group profile
NameSpecialtyState
General SurgeryNV
General SurgeryNV
General SurgeryCO
Physician AssistantGA
General SurgeryNV
General SurgeryNV
General SurgeryNJ
General SurgeryNV
General SurgeryNV
-NV

Reviews

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Frequently asked questions

What identifier follows DR. FIKRE A. MENGISTU (M.D.) across health systems?
The NPI 1073812640 uniquely identifies DR. FIKRE A. MENGISTU (M.D.) in U.S. healthcare data.
Is DR. FIKRE A. MENGISTU (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. FIKRE A. MENGISTU (M.D.) as active.
How should patients interpret DR. FIKRE A. MENGISTU (M.D.)'s specialty?
The extract shows Surgery Physician for DR. FIKRE A. MENGISTU (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. FIKRE A. MENGISTU (M.D.)?
DR. FIKRE A. MENGISTU (M.D.) shows a connection to Henderson, Nevada in registry-derived data.
Why is information missing for DR. FIKRE A. MENGISTU (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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