Melaku T. Birhanie, M.D
Hospitalist Physician · Oceanside, CA
Melaku T. Birhanie, M.D is a hospitalist physician with a practice address in Oceanside, California, and NPI 1134411879, issued on May 13, 2011. Check the license (California A122966, as entered in NPPES) on the Medical Board of California; the Medicare figures below come from public CMS files.
- Name
- Melaku T. Birhanie
- Credential
- M.D
- Primary taxonomy
- Hospitalist Physician 208M00000X
- License number
- A122966 CA
Self-reported in NPPES; status is on the state search - Practice location
- 4002 Vista Way, Oceanside, CA 92056
- Phone
- (760) 966-2499
- Enumerated
- May 13, 2011
- Record last updated
- Jan 29, 2015 (not updated in 11 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20130815000667); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest hospitalist physician records → All 3,099 in California → Look up another NPI →
Also registered at 4002 Vista Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Melaku T. Birhanie in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Board of California
Search for license A122966Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
39% fewer Medicare Part D claims than the average hospitalist physician in 2024
319 Medicare Part D claims for 123 beneficiaries, against an average of 521 among the 21,613 providers of this specialty who prescribed in Part D. 11 claims were for opioids.
Most prescribed
- Doxycycline Hyclate22 claims
- Atorvastatin Calcium17 claims
- Cefuroxime16 claims
- Amlodipine Besylate12 claims
- Furosemide12 claims
- Pantoprazole Sodium12 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): 73.6 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 3 group practices
- Hospitalist Medicine Physicians OF California IncTempleton, CA
- Scripps HealthSan Diego, CA
- Yomiyyu Gammada MD A Professional Medical CorporationOceanside, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Melaku T. Birhanie among 3,099 hospitalist physician records in California
Melaku T. Birhanie, M.D is one of 3,099 hospitalist physician records with a practice address in California. 90% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 47% of them.
- NPI issued2011 · 47% of these records are older, 49% newer
- In a Medicare fileYes · 90% of these records are
- In the CMS Doctors and Clinicians fileYes · 81% of these records are
- Graduated2005 · median 2010 among the 2,505 with a school on file
- Record last updated2015 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208M00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Hospitalist Physician providers in California
There are 3,099 hospitalist physician records in California.
All 3,099 in California → Every provider in Oceanside → Hospitalist Physician nationwide →
The 8 hospitalist physician records with the nearest ZIP codes
- Melanie Pribich, MDCamp Pendleton, CA 920551558754655
- Alan Conrad, MDPoway, CA 920641972604627
- Narasa Madam, M.B.B.SPoway, CA 920641891109690
- David Winn, M.D.San Marcos, CA 920691699887646
- Danielle Aliano, MDLa Jolla, CA 920371891377842
- Tiffany Cook, M.D.La Jolla, CA 920371972248607
- Heidi Deitch, D.O.Solana Beach, CA 920751871816785
- Charlotte EllbergLa Jolla, CA 920371881265866
Common questions
What is Melaku T. Birhanie, M.D's NPI number?
Melaku T. Birhanie, M.D's National Provider Identifier (NPI) is 1134411879, issued on May 13, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Melaku T. Birhanie, M.D located?
The NPPES record lists a practice address at 4002 Vista Way, Oceanside, CA, 92056. Phone: (760) 966-2499. Providers update this record themselves, so call before visiting.
How can I verify Melaku T. Birhanie, M.D's license?
NPPES lists California license number A122966, as entered by the provider. Search the Medical Board of California at https://www.mbc.ca.gov/License-Verification/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Melaku T. Birhanie, M.D prescribe under Medicare Part D?
In 2024, Melaku T. Birhanie, M.D had 319 Medicare Part D claims for 123 beneficiaries; the average among hospitalist physician prescribers was 521. Part D covers Medicare prescriptions only.
What is Melaku T. Birhanie, M.D's MIPS final score?
The 2023 MIPS final score is 73.6 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.