BROOKTIETE ASSERES M.D.
NPI 1063732055
Pediatrics in Apex, NC
About Brooktiete Asseres M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROOKTIETE ASSERES M.D. (NPI 1063732055) is an individual pediatrics provider in Apex, North Carolina, licensed in North Carolina (2013-01617) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Glen Burnie.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 15
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brooktiete Asseres M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Brooktiete Asseres reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Creedmoor, NC 27522
- Reassigned Medicare billing, North Carolina enrollment
- 91 clinicians in this Medicare group
Louisburg, NC 27549
- Reassigned Medicare billing, North Carolina enrollment
- 178 clinicians in this Medicare group
Arden, NC 28704
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
- 824 clinicians in this Medicare group
La Plata, MD 20646
- Reassigned Medicare billing, Maryland enrollment
- 966 clinicians in this Medicare group
Salisbury, MD 21801
- Reassigned Medicare billing, Maryland enrollment
- 531 clinicians in this Medicare group
Hagerstown, MD 21742
- Reassigned Medicare billing, Maryland enrollment
- 311 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, North Carolina enrollment
- 511 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Brooktiete Asseres's NPI number?
The NPI number for Brooktiete Asseres is 1063732055. It was assigned to this individual provider in the NPPES registry on June 2, 2010.
Where is Brooktiete Asseres located?
Brooktiete Asseres practices at 3569 Willow Green Dr, Apex, NC 27502. The listed phone number is (240) 338-1418.
What is Brooktiete Asseres's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Brooktiete Asseres enrolled in Medicare?
Yes. Brooktiete Asseres is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Brooktiete Asseres's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brooktiete Asseres reassigns Medicare benefits to 7 organizations: Granville Health System (Creedmoor, NC), Dlp Maria Parham Physician Practices LLC (Louisburg, NC), Mission Community Anesthesiology Specialists LLC (Arden, NC), University Of Maryland Community Medical Group, Inc. (La Plata, MD), Tidalhealth Specialty Care, LLC (Salisbury, MD) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brooktiete Asseres's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brooktiete Asseres accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and AmeriHealth Caritas Next and 2 other insurers list Brooktiete Asseres as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Brooktiete Asseres was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brooktiete Asseres, M.D. · NPI 1063732055
Pediatrics physician in Apex, North Carolina. Individual provider, active in the CMS NPPES registry since June 2, 2010.
## Identity
- **NPI:** 1063732055 (Entity type: Individual)
- **Enumerated:** June 2, 2010
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 2013-01617 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 3569 WILLOW GREEN DR, Apex, NC 27502-2507
- **Phone:** (240) 338-1418
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Granville Health System (NPI 1265430854, Creedmoor, NC); Dlp Maria Parham Physician Practices LLC (NPI 1467947127, Louisburg, NC); Mission Community Anesthesiology Specialists LLC (NPI 1841760238, Arden, NC); University Of Maryland Community Medical Group, Inc. (NPI 1679393854, La Plata, MD); Tidalhealth Specialty Care, LLC (NPI 1619504735, Salisbury, MD); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 14, 2026
- **Other identifiers:** Other 7520999 (NC); Other 1063732055 (NC); Medicaid 1063732055 (NC); and 12 more
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Source: [NPI Profile](https://npiprofile.com/npi/1063732055) · Data from the CMS NPPES public registry.