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MISRAK TADESSE MD
NPI 1245241033
Pediatrics - Neonatal-Perinatal Medicine in Columbia, MD

Active since August 10, 2006PECOS Enrolled
5755 CEDAR LN, HCGH NICU, COLUMBIA, MD 21044(410) 740-7557 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Misrak Tadesse Md NPPES

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

MISRAK TADESSE MD (NPI 1245241033) is an individual neonatal-perinatal medicine provider in Columbia, Maryland, licensed in Maryland (D0046199) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245241033
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameMISRAK TADESSECredential: MD
Location Address5755 CEDAR LN, HCGH NICUColumbia, MD 21044-2912
Mailing AddressPo Box 64208Baltimore, MD 21264-4208 · (443) 828-0442 · Fax (703) 289-1414
Phone(410) 740-7557
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1245241033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in MD · D0046199
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
5755 CEDAR LN, Columbia, MD 21044
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF89004

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misrak Tadesse Md 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 Misrak Tadesse reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins University
17 mi
Neonatal-Perinatal Medicine
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, Maryland enrollment
  • 16 clinicians in this Medicare group
NPI 1629732805 (410) 502-2037
Medstar Medical Group II LLC
19 mi
General Practice
5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239
  • Reassigned Medicare billing, Maryland enrollment
  • 2,602 clinicians in this Medicare group
NPI 1184046187 (443) 444-5606

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.

DR. WYNNE BREED M.D.
Emergency Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7777
DR. LUCAS E NIKKEL M.D.
Orthopaedic Surgery
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (443) 546-1570
ANAM BUTT MD
Family Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7890
JOHNS HOPKINS UNIVERSITY
Emergency Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7777
MOHAMMED R GHEBA M.D.
Surgery
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (443) 718-3160
MRS. TONI MARIE KELLER PA-C
Physician Assistant
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 720-8000
CEDAR HOUSE PHYSICIANS
Emergency Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7890
MS. NANCY ELENA ACS LCSW-C
Social Worker (Clinical)
5755 CEDAR LN
COLUMBIA, MD 21044
Howard County (410) 740-7890

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 Misrak Tadesse's NPI number?

The NPI number for Misrak Tadesse is 1245241033. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Misrak Tadesse located?

Misrak Tadesse practices at 5755 Cedar Ln Hcgh Nicu, Columbia, MD 21044. The listed phone number is (410) 740-7557.

What is Misrak Tadesse's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Misrak Tadesse enrolled in Medicare?

Yes. Misrak Tadesse is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Misrak Tadesse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misrak Tadesse reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Medstar Medical Group II LLC (Baltimore, 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 Misrak Tadesse'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 Misrak Tadesse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.