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: August 02, 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
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

Other Identifiers 1

Medicare UPINF89004

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Emergency Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Orthopaedic Surgery
5755 CEDAR LN
COLUMBIA, MD 21044
Emergency Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Surgery
5755 CEDAR LN
COLUMBIA, MD 21044
Physician Assistant
5755 CEDAR LN
COLUMBIA, MD 21044
Emergency Medicine
5755 CEDAR LN
COLUMBIA, MD 21044
Social Worker (Clinical)
5755 CEDAR LN
COLUMBIA, MD 21044
Social Worker (Clinical)
5755 CEDAR LN
COLUMBIA, MD 21044

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.

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.