EYRUSALAM GEBREMICHAEL GEBREMEDHINE
NPI 1144042896
Nurse Practitioner - Family in Baltimore, MD
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Eyrusalam Gebremedhine reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 257 clinicians in this Medicare group
Potomac, MD 20854
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 65 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 168 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.
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, MDPhysician 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.
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.
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 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.
Where is Eyrusalam Gebremedhine located?
Eyrusalam Gebremedhine practices at 630 S Exeter St, Baltimore, MD 21202. The listed phone number is (410) 962-5620.
What is Eyrusalam Gebremedhine's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Eyrusalam Gebremedhine enrolled in Medicare?
Yes. Eyrusalam Gebremedhine 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.
Which organizations bill Medicare for Eyrusalam Gebremedhine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eyrusalam Gebremedhine reassigns Medicare benefits to 3 organizations: Maryland Family Care, Inc. (Baltimore, MD), Minuteclinic Primary Care Maryland LLC (Potomac, MD) and Minuteclinic LLC (Rockville, MD). 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 Eyrusalam Gebremedhine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Eyrusalam Gebremedhine affiliated with any hospitals?
According to CMS data, Eyrusalam Gebremedhine is affiliated with Mercy Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Eyrusalam Gebremedhine was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Eyrusalam Gebremichael Gebremedhine · NPI 1144042896
Family physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since October 24, 2024.
## Identity
- **NPI:** 1144042896 (Entity type: Individual)
- **Enumerated:** October 24, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R258010 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 630 S EXETER ST, Baltimore, MD 21202-4316
- **Phone:** (410) 962-5620
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Maryland Family Care, Inc. (NPI 1598718256, Baltimore, MD); Minuteclinic Primary Care Maryland LLC (NPI 1487461034, Potomac, MD); Minuteclinic LLC (NPI 1134191836, Rockville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1144042896) · Data from the CMS NPPES public registry.