EYRUSALAM GEBREMICHAEL GEBREMEDHINE
NPI 1144042896
Nurse Practitioner - Family in Baltimore, MD

Q: What is Eyrusalam Gebremedhine's NPI number?

The NPI number for Eyrusalam Gebremedhine is 1144042896. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Q: What is Eyrusalam Gebremedhine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since October 24, 2024PECOS EnrolledAccepts Medicare Assignment

630 S EXETER ST, BALTIMORE, MD 21202(410) 962-5620 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eyrusalam Gebremichael Gebremedhine NPPES

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

EYRUSALAM GEBREMICHAEL GEBREMEDHINE (NPI 1144042896) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R258010) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1144042896

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEYRUSALAM GEBREMICHAEL GEBREMEDHINE

Location Address630 S EXETER STBaltimore, MD 21202-4316

Mailing Address630 S Exeter StBaltimore, MD 21202-4316

Phone(410) 962-5620

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 24, 2024

NPPES CertifiedOctober 21, 2024

✔ NPI 1144042896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MD · R258010

630 S EXETER ST, Baltimore, MD 21202

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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 and accepts Medicare assignment

Eyrusalam Gebremichael Gebremedhine 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 ID5597293779

PECOS Enrollment IDI20250115003725, I20250116001654

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.

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number210008

Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21202 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

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

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

Other Providers at the Same Location NPPES 17

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

FLORENCE W GICHAIYA CRNP-FAMILY

Nurse Practitioner (Family)