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DR. YONAS WOLDEKIRISTOS MD
NPI 1285574657
Student in an Organized Health Care Education/Training Program in Pueblo, CO

Active since March 28, 2026PECOS Enrolled
902 LAKEVIEW AVE, PUEBLO, CO 81004(719) 557-5872 Get Directions Write a Review

NPPES record last updated: March 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Yonas Woldekiristos Md NPPES

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

DR. YONAS WOLDEKIRISTOS MD (NPI 1285574657) is an individual student in an organized health care education/training program in Pueblo, Colorado, licensed in Colorado (TL0010559) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285574657
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. YONAS WOLDEKIRISTOSCredential: MD
Location Address902 LAKEVIEW AVEPueblo, CO 81004-3597
Mailing Address902 Lakeview AvePueblo, CO 81004-3597
Phone(719) 557-5872
Sole ProprietorYes
Enumeration DateMarch 28, 2026
NPPES CertifiedMarch 28, 2026
✔ NPI 1285574657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CO · TL0010559
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.
902 LAKEVIEW AVE, Pueblo, CO 81004
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Yonas Woldekiristos 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.

DR. CAMILA TERESA ROBLES DO
Family Medicine
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
MARK DAVIS PA-C
Physician Assistant
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
MADISON BASSETT
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
REBECKA ANN REATHERFORD AGACNP-BC
Nurse Practitioner (Acute Care)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
LUCINEI GERALDO STADNIK MD
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
DR. LISA HAMILTON MD
Student in an Organized Health Care Education/Training Program
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5872
TIFFANY ANNE GARCIA FNP
Nurse Practitioner (Family)
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855
DR. KIMBERLEY EVELYN JACKSON D.O.
General Practice
902 LAKEVIEW AVE
PUEBLO, CO 81004
Pueblo County (719) 557-5855

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 Yonas Woldekiristos's NPI number?

The NPI number for Yonas Woldekiristos is 1285574657. It was assigned to this individual provider in the NPPES registry on March 28, 2026.

Where is Yonas Woldekiristos located?

Yonas Woldekiristos practices at 902 Lakeview Ave, Pueblo, CO 81004. The listed phone number is (719) 557-5872.

What is Yonas Woldekiristos's specialty?

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

Is Yonas Woldekiristos enrolled in Medicare?

Yes. Yonas Woldekiristos is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Yonas Woldekiristos was last updated on March 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.