TEWODROS ASMAMAW ADANE MD
NPI 1235811217
Student in an Organized Health Care Education/Training Program in Lumberton, NC

Active since August 01, 2023PECOS Enrolled
300 W 27TH ST, LUMBERTON, NC 28358(910) 671-5000(910) 671-5392 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tewodros Asmamaw Adane Md NPPES

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

TEWODROS ASMAMAW ADANE MD (NPI 1235811217) is an individual student in an organized health care education/training program in Lumberton, North Carolina and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1235811217
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTEWODROS ASMAMAW ADANECredential: MD
Location Address300 W 27TH STLumberton, NC 28358-3075
Mailing Address300 W 27th StLumberton, NC 28358-3075 · (910) 671-5000 · Fax (910) 671-5392
Fax(910) 671-5392
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 1, 2023
Last NPPES UpdateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
✔ NPI 1235811217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 2025-03840 (NC)
300 W 27TH ST, Lumberton, NC 28358

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tewodros Asmamaw Adane Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971965518
PECOS Enrollment IDI20260429003433
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 Reassignment

Medicare enrollment records show Tewodros Adane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, North Carolina enrollment
  • 728 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.

Other Providers at the Same Location NPPES 20

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

Anesthesiology (Pain Medicine)
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Psychiatric Unit
300 W 27TH ST
LUMBERTON, NC 28358
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Dietitian, Registered
300 W 27TH ST
LUMBERTON, NC 28358
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358

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 Tewodros Adane's NPI number?

The NPI number for Tewodros Adane is 1235811217. It was assigned to this individual provider in the NPPES registry on August 1, 2023.

Where is Tewodros Adane located?

Tewodros Adane practices at 300 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 671-5000.

What is Tewodros Adane's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tewodros Adane enrolled in Medicare?

Yes. Tewodros Adane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tewodros Adane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tewodros Adane reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Tewodros Adane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tewodros Adane was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.