MEKDELAWIT TADESSE
NPI 1063249837
Physician Assistant in Baltimore, MD

Q: What is Mekdelawit Tadesse's NPI number?

The NPI number for Mekdelawit Tadesse is 1063249837. It was assigned to this individual provider in the NPPES registry on September 17, 2024.

Q: What is Mekdelawit Tadesse's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 17, 2024PECOS Enrolled

520 W FAYETTE ST STE 300, BALTIMORE, MD 21201(240) 350-2854 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2025, Sep 17, 2024 (2 updates tracked since 2024).

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About Mekdelawit Tadesse NPPES

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

MEKDELAWIT TADESSE (NPI 1063249837) is an individual physician assistant in Baltimore, Maryland, licensed in Maryland (C0010028) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Holy Cross Hospital, and is a graduate of University Of Maryland School Of Medicine (2025).

NPPES Registry Identity

NPI1063249837

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMEKDELAWIT TADESSE

Location Address520 W FAYETTE ST STE 300Baltimore, MD 21201-1756

Mailing Address520 W Fayette St Ste 300Baltimore, MD 21201-1756

Phone(240) 350-2854

Sole ProprietorNo

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2025

Enumeration DateSeptember 17, 2024

Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 18, 2025

✔ NPI 1063249837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MD · C0010028

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

520 W FAYETTE ST STE 300, Baltimore, MD 21201

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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)

Mekdelawit Tadesse is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032615497

PECOS Enrollment IDI20251003002021

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holy Cross Hospital

Acute Care Hospitals · Silver Spring, MD

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number210004

Location1500 Forest Glen RoadSilver Spring, MD 20910 · Montgomery County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$75.47 typical visit price

range $19.60 – $149.17

Typical copayment $18.86 (range $4.90 – $37.29)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

BROOKE MEREDITH

Physician Assistant