EDEN ASEFAW GHEBRESILASIE (PA) – Physician Assistant, NPI 1164591400
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for EDEN ASEFAW GHEBRESILASIE (PA)
2642, Collins Avenue, Miami Beach, Miami-Dade County, Florida, 33140, United States
APT 207
MIAMI BEACH, FL 33140
Phone: (305) 215-2929
Type: Mailing
18260, Northeast 19th Avenue, North Miami Beach, Miami-Dade County, Florida, 33162, United States
SUITE 201
NORTH MIAMI BEACH, FL 331621632
Phone: (305) 956-9062
Fax: (305) 354-4524
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $736.
Total Amount is formed as General ($736) + Research ($0) + Ownership ($0) = $736.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: PFIZER INC. ($181).
Total Amount
$736
General + Research + Ownership
Payments
41
Total payment records
General Amount
$736
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $181 |
| Exact Sciences Corporation | $109 |
| AstraZeneca Pharmaceuticals LP | $85 |
| ALK-Abello, Inc | $84 |
| IDORSIA PHARMACEUTICALS US INC | $55 |
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: 2013-08-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130805000987 | I | Physician Assistant | NC | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33140)
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