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FRAZER TESSEMA MD
NPI 1053103838
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since May 19, 2025PECOS Enrolled
5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637(773) 702-1447 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Frazer Tessema Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRAZER TESSEMA MD (NPI 1053103838) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053103838
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameFRAZER TESSEMACredential: MD
Location Address5841 S MARYLAND AVE # MC1052Chicago, IL 60637-1443
Mailing Address15606 Straughn DrLaurel, MD 20707-2662 · (609) 672-0481
Phone(773) 702-1447
Sole ProprietorYes
Enumeration DateMay 19, 2025
NPPES CertifiedMay 17, 2025
✔ NPI 1053103838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5841 S MARYLAND AVE # MC1052, Chicago, IL 60637
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frazer Tessema Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DERRIUS J. ANDERSON MD
Surgery
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-2500
JI SOO KIL MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-0529
DR. CANDACE WILSON MD
Pediatrics
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-6760
MEGHAM TWISS
Counselor (Mental Health)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-4281
MELISSA YUWONO TJOTA MD, PHD
Pathology (Anatomic Pathology & Clinical Pathology)
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 834-7708
MICHEAL EZEANA
Emergency Medicine
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 702-6760
BREANNA CHANDLER MD
Internal Medicine
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (773) 834-0820
DR. NITIN NANDKUMAR JAGDHANE MD
Neurological Surgery
5841 S MARYLAND AVE # MC1052
CHICAGO, IL 60637
Cook County (754) 308-7398

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frazer Tessema's NPI number?

The NPI number for Frazer Tessema is 1053103838. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Frazer Tessema located?

Frazer Tessema practices at 5841 S Maryland Ave # Mc1052, Chicago, IL 60637. The listed phone number is (773) 702-1447.

What is Frazer Tessema's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Frazer Tessema enrolled in Medicare?

Yes. Frazer Tessema is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Frazer Tessema was last updated on May 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.