SAMUEL WOLDEMICHAEL
NPI 1124637863
Counselor - Professional in Hyattsville, MD

Active since July 29, 2020PECOS EnrolledAccepts Medicare Assignment
3415 HAMILTON ST STE 9, HYATTSVILLE, MD 20782(301) 538-5659 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samuel Woldemichael NPPES

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

SAMUEL WOLDEMICHAEL (NPI 1124637863) is an individual professional provider in Hyattsville, Maryland, licensed in Maryland (LC10486) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124637863
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSAMUEL WOLDEMICHAEL
Location Address3415 HAMILTON ST STE 9Hyattsville, MD 20782-3953
Mailing Address8604 Nightingale DrLanham, MD 20706-3953 · (301) 538-5659
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 29, 2020
NPPES CertifiedJuly 29, 2020
NPI 1124637863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MD · LC10486
3415 HAMILTON ST STE 9, Hyattsville, MD 20782

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Samuel Woldemichael 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.

PECOS PAC ID3476099151
PECOS Enrollment IDI20240718003488
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 2

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

Clinic/Center (Adult Mental Health)
3415 HAMILTON ST STE 9
W HYATTSVILLE, MD 20782
Psychologist (Addiction (Substance Use Disorder))
3415 HAMILTON ST STE 9
HYATTSVILLE, MD 20782

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 Samuel Woldemichael's NPI number?

The NPI number for Samuel Woldemichael is 1124637863. It was assigned to this individual provider in the NPPES registry on July 29, 2020.

Where is Samuel Woldemichael located?

Samuel Woldemichael practices at 3415 Hamilton St Ste 9, Hyattsville, MD 20782. The listed phone number is (301) 538-5659.

What is Samuel Woldemichael's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Samuel Woldemichael enrolled in Medicare?

Yes. Samuel Woldemichael 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.

What insurance does Samuel Woldemichael accept?

Health plans from Providence Health Plan list Samuel Woldemichael 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 Samuel Woldemichael was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.