KOKEB TESHOME M.D.
NPI 1316139066
Internal Medicine in Petaluma, CA
About Kokeb Teshome M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KOKEB TESHOME M.D. (NPI 1316139066) is an individual internal medicine provider in Petaluma, California, licensed in California (A93599) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kokeb Teshome M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kokeb Teshome reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eldridge, CA 95431
- Reassigned Medicare billing, California enrollment
- 69 clinicians in this Medicare group
Yountville, CA 94599
- Reassigned Medicare billing, California enrollment
- 27 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94954 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PETALUMA, CA 94954
PETALUMA, CA 94954
PETALUMA, CA 94954
PETALUMA, CA 94954
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 Kokeb Teshome's NPI number?
The NPI number for Kokeb Teshome is 1316139066. It was assigned to this individual provider in the NPPES registry on August 16, 2007.
Where is Kokeb Teshome located?
Kokeb Teshome practices at 400 N Mcdowell Blvd, Petaluma, CA 94954. The listed phone number is (707) 778-1111.
What is Kokeb Teshome's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kokeb Teshome enrolled in Medicare?
Yes. Kokeb Teshome is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kokeb Teshome's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kokeb Teshome reassigns Medicare benefits to 2 organizations: State Of California - Department Of Developmental Services (Eldridge, CA) and Veterans Home Of California (Yountville, CA). 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 Kokeb Teshome'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 Kokeb Teshome was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Kokeb Teshome, M.D. · NPI 1316139066
Internal Medicine physician in Petaluma, California. Individual provider, active in the CMS NPPES registry since August 16, 2007.
## Identity
- **NPI:** 1316139066 (Entity type: Individual)
- **Enumerated:** August 16, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** A93599 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 400 N MCDOWELL BLVD, Petaluma, CA 94954-2339
- **Phone:** (707) 778-1111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): State Of California - Department Of Developmental Services (NPI 1851344220, Eldridge, CA); Veterans Home Of California (NPI 1386898203, Yountville, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** September 17, 2012
- **Other identifiers:** Other 1316139066 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1316139066) · Data from the CMS NPPES public registry.