ADAMSEGD ISAC GEBREMEDHEN MD
NPI 1417650870
Student in an Organized Health Care Education/Training Program in Rochester, MN

Q: What is Adamsegd Isac Gebremedhen's NPI number?

The NPI number for Adamsegd Isac Gebremedhen is 1417650870. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Q: What is Adamsegd Isac Gebremedhen's specialty?

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

Active since March 24, 2023PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 10, 2026, Mar 24, 2023 (2 updates tracked since 2023).

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About Adamsegd Isac Gebremedhen Md NPPES

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

ADAMSEGD ISAC GEBREMEDHEN MD (NPI 1417650870) is an individual student in an organized health care education/training program in Rochester, Minnesota and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417650870

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameADAMSEGD ISAC GEBREMEDHENCredential: MD

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Enumeration DateMarch 24, 2023

Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1417650870 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

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.

200 1ST ST SW, Rochester, MN 55905

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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)

Adamsegd Isac Gebremedhen 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.

EMILY LEASURE MD

Internal Medicine