LYDIA G ANDEMARIAM NP
NPI 1114736667
Nurse Practitioner - Family in San Leandro, CA
About Lydia G Andemariam Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYDIA G ANDEMARIAM NP (NPI 1114736667) is an individual family provider in San Leandro, California, licensed in California (NP95030075) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lydia G Andemariam Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94578 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lydia Andemariam's NPI number?
The NPI number for Lydia Andemariam is 1114736667. It was assigned to this individual provider in the NPPES registry on December 30, 2024.
Where is Lydia Andemariam located?
Lydia Andemariam practices at 13851 E 14th St Ste 206, San Leandro, CA 94578. The listed phone number is (510) 351-9373.
What is Lydia Andemariam's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lydia Andemariam enrolled in Medicare?
Yes. Lydia Andemariam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Lydia Andemariam was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Lydia G Andemariam, NP · NPI 1114736667
Family physician in San Leandro, California. Individual provider, active in the CMS NPPES registry since December 30, 2024.
## Identity
- **NPI:** 1114736667 (Entity type: Individual)
- **Enumerated:** December 30, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** NP95030075 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 13851 E 14TH ST STE 206, San Leandro, CA 94578-2627
- **Phone:** (510) 351-9373
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1114736667) · Data from the CMS NPPES public registry.