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

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: November 01, 2026.

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

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 Tristar Skyline 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 Health Plan, Inc., Oscar Insurance Company.Insurance ›

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Yehualashet Hailemariam reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Medicine Services Of Tn, LLC
27 mi
Hospitalist
2300 PATTERSON ST
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 420 clinicians in this Medicare group
NPI 1982301065 (615) 342-1001
Cookeville Hospitalist Group, PLLC
46 mi
Hospitalist
1 MEDICAL CENTER BLVD
Cookeville, TN 38501
  • Reassigned Medicare billing, Tennessee enrollment
  • 107 clinicians in this Medicare group
NPI 1467133371 (931) 528-2541
App Of Tennessee Hm, PLLC
46 mi
Hospitalist
2835 HIGHWAY 231 N
Shelbyville, TN 37160
  • Reassigned Medicare billing, Tennessee enrollment
  • 498 clinicians in this Medicare group
NPI 1396160768 (931) 685-5433
Southeastern Physician Services PC
117 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Hospital Medicine Services Of Tennessee PC
214 mi
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Tennessee enrollment
  • 394 clinicians in this Medicare group
NPI 1528433802 (812) 537-1010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 Summit Medical Center

Acute Care Hospitals · Hermitage, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440150
Location5655 Frist BlvdHermitage, TN 37076 · 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

Macon Community Hospital

Critical Access Hospitals · Lafayette, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number441305
Location204 Medical DriveLafayette, TN 37083 · Macon County
Emergency services

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.

Which organizations bill Medicare for Yehualashet Hailemariam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Yehualashet Hailemariam reassigns Medicare benefits to 5 organizations: Hospital Medicine Services Of Tn, LLC (Nashville, TN), Cookeville Hospitalist Group, PLLC (Cookeville, TN), App Of Tennessee Hm, PLLC (Shelbyville, TN), Southeastern Physician Services PC (Oak Ridge, TN) and Hospital Medicine Services Of Tennessee PC (Lawrenceburg, IN). 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 Yehualashet Hailemariam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Yehualashet Hailemariam accept?

Health plans from Oscar Health Plan, Inc. and 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 Tristar Skyline Medical Center, Cookeville Regional Medical Center, Tristar Summit Medical Center, Tristar Hendersonville Medical Center and Macon Community Hospital.

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.