BELACHEW TESSEMA M.D.
NPI 1417005000
Otolaryngology in Farmington, CT
About Belachew Tessema M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BELACHEW TESSEMA M.D. (NPI 1417005000) is an individual otolaryngology provider in Farmington, Connecticut, licensed in Connecticut (047340) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Farmington, and is a graduate of University Of Connecticut School Of Medicine (2003).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Belachew Tessema 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
7Medicare enrollment records show Belachew Tessema reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Farmington, CT 06032
- Reassigned Medicare billing, Connecticut enrollment
- 496 clinicians in this Medicare group
Farmington, CT 06032
- Reassigned Medicare billing, Connecticut enrollment
- 21 clinicians in this Medicare group
Farmington, CT 06030
- Reassigned Medicare billing, Connecticut enrollment
- 788 clinicians in this Medicare group
New Britain, CT 06052
- Reassigned Medicare billing, Connecticut enrollment
- 745 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- Also billed through NPI 1770696643 (Connecticut)
- 1,333 clinicians in this Medicare group
Meriden, CT 06451
- Reassigned Medicare billing, Connecticut enrollment
- 505 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 8
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 06032 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.
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 Belachew Tessema's NPI number?
The NPI number for Belachew Tessema is 1417005000. It was assigned to this individual provider in the NPPES registry on January 8, 2007.
Where is Belachew Tessema located?
Belachew Tessema practices at 21 South Rd, Farmington, CT 06032. The listed phone number is (860) 284-4950.
What is Belachew Tessema's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Belachew Tessema enrolled in Medicare?
Yes. Belachew Tessema 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 Belachew Tessema's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Belachew Tessema reassigns Medicare benefits to 7 organizations: Prohealth Physicians PC (Farmington, CT), Ear, Nose & Throat Institute Of Connecticut PLLC (Farmington, CT), University Of Connecticut Health Center (Farmington, CT), The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT) and 2 more organizations, listed in the Medicare section above. 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 Belachew Tessema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Belachew Tessema accept?
Health plans from Anthem Blue Cross and Blue Shield list Belachew Tessema as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Belachew Tessema was last updated on November 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Belachew Tessema, M.D. · NPI 1417005000
Otolaryngology physician in Farmington, Connecticut. Individual provider, active in the CMS NPPES registry since January 8, 2007.
## Identity
- **NPI:** 1417005000 (Entity type: Individual)
- **Enumerated:** January 8, 2007
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 047340 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 21 SOUTH RD, Farmington, CT 06032-2482
- **Phone:** (860) 284-4950
## 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:** 7 organizations under Medicare reassignment (form CMS-855R): Prohealth Physicians PC (NPI 1720194053, Farmington, CT); Ear, Nose & Throat Institute Of Connecticut PLLC (NPI 1316724891, Farmington, CT); University Of Connecticut Health Center (NPI 1720083769, Farmington, CT); The Hospital Of Central Connecticut At New Britain General And Bradley (NPI 1063461481, New Britain, CT); Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 2003
## Record status
- **NPPES last updated:** November 9, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1417005000) · Data from the CMS NPPES public registry.