DR. YEHUALASHET BEKELE HAILEMARIAM M.D
NPI 1174910491
Internal Medicine in Lebanon, TN

Q: What is Yehualashet Hailemariam's NPI number?

The NPI number for Yehualashet Hailemariam is 1174910491. It was assigned to this individual provider in the NPPES registry on April 24, 2015. The provider is also known as Dr. Yehualashet Bekele Hailemariam M.D.

Q: What is Yehualashet Hailemariam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 24, 2015PECOS EnrolledAccepts Medicare Assignment

1411 W BADDOUR PKWY,LEBANON TN 37087, LEBANON, TN 37087(615) 444-8262 Get Directions Write a Review

NPPES record last updated: August 14, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2019, Aug 2, 2019 (2 updates tracked since 2019).

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About Dr. Yehualashet Bekele Hailemariam M.d NPPES

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

DR. YEHUALASHET BEKELE HAILEMARIAM M.D (NPI 1174910491) is an individual internal medicine provider in Lebanon, Tennessee, licensed in Tennessee (0000057086) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Sumner Regional Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1174910491

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. YEHUALASHET BEKELE HAILEMARIAMCredential: M.D

Location Address1411 W BADDOUR PKWY,LEBANON TN 37087Lebanon, TN 37087

Mailing Address676 Holland Ridge DrLa Vergne, TN 37086-4266 · (615) 810-4013

Phone(615) 444-8262

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateApril 24, 2015

Last NPPES UpdateAugust 14, 20192 updates tracked since enumeration

✔ NPI 1174910491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 0000057086

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1411 W BADDOUR PKWY,LEBANON TN 37087, Lebanon, TN 37087

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Other Names 1

Professional Name (2)Dr. Yehualashet Bekele Hailemariam M.d

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Dr. Yehualashet Bekele Hailemariam M.d 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 ID6608126412

PECOS Enrollment IDI20180828004353

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

387 services179 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

253 services146 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

179 services174 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

88 services88 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

18 services17 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sumner Regional Medical Center

Acute Care Hospitals · Gallatin, TN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number440003

Location555 Hartsville PikeGallatin, TN 37066 · Sumner County

Emergency services Birthing friendly

Tristar Skyline Medical Center

Acute Care Hospitals · Nashville, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440006

Location3441 Dickerson PikeNashville, TN 37207 · Davidson County

Emergency services

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440059

Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County

Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440161

Location2300 Patterson StreetNashville, TN 37203 · Davidson County

Emergency services Birthing friendly

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN

4/5 CMS rating

OwnershipProprietary

CMS Certification Number440194

Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37087 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

92%61 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Yehualashet Hailemariam's NPI number?

The NPI number for Yehualashet Hailemariam is 1174910491. It was assigned to this individual provider in the NPPES registry on April 24, 2015. The provider is also known as Dr. Yehualashet Bekele Hailemariam M.D.

Where is Yehualashet Hailemariam located?

Yehualashet Hailemariam practices at 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087. The listed phone number is (615) 444-8262.

What is Yehualashet Hailemariam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Yehualashet Hailemariam enrolled in Medicare?

Yes. Yehualashet Hailemariam 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 Yehualashet Hailemariam accept?

Health plans from Oscar Insurance Company list Yehualashet Hailemariam 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.

Is Yehualashet Hailemariam affiliated with any hospitals?

According to CMS data, Yehualashet Hailemariam is affiliated with Sumner Regional Medical Center, Tristar Skyline Medical Center, Cookeville Regional Medical Center, Tristar Centennial Medical Center and Tristar Hendersonville Medical Center.

When was this NPI record last updated?

The NPPES record for Yehualashet Hailemariam was last updated on August 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.