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ADDISALEM TESMAMA NP
NPI 1205514007
Nurse Practitioner - Family in Cincinnati, OH

Active since July 11, 2023PECOS Enrolled
8230 MONTGOMERY RD, CINCINNATI, OH 45236(513) 891-1127 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Addisalem Tesmama Np NPPES

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

ADDISALEM TESMAMA NP (NPI 1205514007) is an individual family provider in Cincinnati, Ohio, licensed in Ohio (0034048) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205514007
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameADDISALEM TESMAMACredential: NP
Location Address8230 MONTGOMERY RDCincinnati, OH 45236-2200
Mailing Address4055 Valley View Ln, Dallas, Tx 75244Dallas, TX 75244-5071 · (855) 984-5121
Phone(513) 891-1127
Sole ProprietorNo
Enumeration DateJuly 11, 2023
NPPES CertifiedJuly 3, 2023
✔ NPI 1205514007 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
Licenses✔ Licensed in OH · 0034048✔ Licensed in KY · 4006538
8230 MONTGOMERY RD, Cincinnati, OH 45236
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Addisalem Tesmama Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Addisalem Tesmama reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health, LLC
821 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Kentucky and Ohio enrollments
  • 390 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Grow Healthcare Group PA
957 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Ohio enrollment
  • 725 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45236 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Addisalem Tesmama's NPI number?

The NPI number for Addisalem Tesmama is 1205514007. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Addisalem Tesmama located?

Addisalem Tesmama practices at 8230 Montgomery Rd, Cincinnati, OH 45236. The listed phone number is (513) 891-1127.

What is Addisalem Tesmama's specialty?

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

Is Addisalem Tesmama enrolled in Medicare?

Yes. Addisalem Tesmama is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Addisalem Tesmama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Addisalem Tesmama reassigns Medicare benefits to 2 organizations: Signify Health, LLC (Dallas, TX) and Grow Healthcare Group PA (Miami, FL). 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 Addisalem Tesmama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Addisalem Tesmama accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Addisalem Tesmama 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 Addisalem Tesmama was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.