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ADDIS G TSEGAYE MD
NPI 1376954040
Student in an Organized Health Care Education/Training Program in Reynoldsburg, OH

Active since May 15, 2014PECOS Enrolled
7129 AUSTRIAN WAY, APT/SUITE, REYNOLDSBURG, OH 43068(614) 556-5424 Get Directions Write a Review

NPPES record last updated: April 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Addis G Tsegaye Md NPPES

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

ADDIS G TSEGAYE MD (NPI 1376954040) is an individual student in an organized health care education/training program in Reynoldsburg, Ohio, licensed in North Carolina (TSEG-Z5FFDA) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376954040
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameADDIS G TSEGAYECredential: MD
Location Address7129 AUSTRIAN WAY, APT/SUITEReynoldsburg, OH 43068-5626
Mailing Address2100 Stantonsburg Rd Apt SuiteGreenville, NC 27834-2818 · (252) 744-1406 · Fax (252) 744-4243
Phone(614) 556-5424
Sole ProprietorYes
Enumeration DateMay 15, 2014
Last NPPES UpdateApril 12, 2025
NPPES CertifiedApril 12, 2025
✔ NPI 1376954040 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 NC · TSEG-Z5FFDA
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.
7129 AUSTRIAN WAY, Reynoldsburg, OH 43068
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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)

Addis G Tsegaye 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.

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 Addis Tsegaye's NPI number?

The NPI number for Addis Tsegaye is 1376954040. It was assigned to this individual provider in the NPPES registry on May 15, 2014.

Where is Addis Tsegaye located?

Addis Tsegaye practices at 7129 Austrian Way Apt/Suite, Reynoldsburg, OH 43068. The listed phone number is (614) 556-5424.

What is Addis Tsegaye's specialty?

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

Is Addis Tsegaye enrolled in Medicare?

Yes. Addis Tsegaye is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Addis Tsegaye was last updated on April 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.