Heran Mengesha
Internal Medicine Physician · Nashville, TN
Heran Mengesha is an internal medicine physician with a practice address in Nashville, Tennessee, and NPI 1295198349, issued on Apr 5, 2016. Check the license (Tennessee 59931, as entered in NPPES) on the Tennessee Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Heran Mengesha
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 59931 TN
Self-reported in NPPES; status is on the state search - Practice location
- 1005 Dr DB Todd JR Blvd, Nashville, TN 37208
- Phone
- (615) 327-6000
- Enumerated
- Apr 5, 2016
- Record last updated
- Nov 27, 2023
- Medicaid ID
- Q043041 TN
- Medicare enrollment
- Enrolled (PECOS I20191211003336); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 2,596 in Tennessee → Look up another NPI →
Also registered at 1005 Dr DB Todd JR Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Heran Mengesha in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTennessee Board of Medical Examiners
Search for license 59931Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
80% fewer Medicare Part D claims than the average internal medicine physician in 2024
630 Medicare Part D claims for 73 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D.
Most prescribed
- Atorvastatin Calcium64 claims
- Losartan Potassium45 claims
- Albuterol Sulfate Hfa35 claims
- Lisinopril29 claims
- Carvedilol28 claims
- Amlodipine Besylate22 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 89.6 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Anova Medical Associates, PLCGallatin, TN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Heran Mengesha among 2,596 internal medicine physician records in Tennessee
Heran Mengesha is one of 2,596 internal medicine physician records with a practice address in Tennessee. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 82% of them.
- NPI issued2016 · 82% of these records are older, 16% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2013 · median 2003 among the 1,705 with a school on file
- Record last updated2023 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Tennessee practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
613 internal medicine physician records list a practice address in Nashville
They are 613 of the 24,357 NPPES records with a practice address in Nashville, and 2,596 internal medicine physician records in Tennessee.
All 2,596 in Tennessee → Every provider in Nashville → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
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- Kelvin Baggett, M.D., M.P.H., M.B.A.Nashville, TN 372081144410879
- Monique Bennerman, M.D.Nashville, TN 372081841278157
- Mary Butterfield, M.D.Nashville, TN 372081568470177
- Clinton Cummings, M.D.Nashville, TN 372081922086016
- Azuka Egbuniwe, M.D.Nashville, TN 372081033391693
Common questions
What is Heran Mengesha's NPI number?
Heran Mengesha's National Provider Identifier (NPI) is 1295198349, issued on Apr 5, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Heran Mengesha located?
The NPPES record lists a practice address at 1005 Dr DB Todd JR Blvd, Nashville, TN, 37208. Phone: (615) 327-6000. Providers update this record themselves, so call before visiting.
How can I verify Heran Mengesha's license?
NPPES lists Tennessee license number 59931, as entered by the provider. Search the Tennessee Board of Medical Examiners at https://www.tn.gov/health/licensure/me.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Heran Mengesha prescribe under Medicare Part D?
In 2024, Heran Mengesha had 630 Medicare Part D claims for 73 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Heran Mengesha's MIPS final score?
The 2023 MIPS final score is 89.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.