BETHEL TEWOLDE KIDANE PA -C
NPI 1467096438
Physician Assistant in Baltimore, MD
About Bethel Tewolde Kidane Pa -c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHEL TEWOLDE KIDANE PA -C (NPI 1467096438) is an individual physician assistant in Baltimore, Maryland and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bethel Tewolde Kidane Pa -c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21237 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BALTIMORE, MD 21237
BALTIMORE, MD 21237
BALTIMORE, MD 21237
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 Bethel Kidane's NPI number?
The NPI number for Bethel Kidane is 1467096438. It was assigned to this individual provider in the NPPES registry on November 3, 2019.
Where is Bethel Kidane located?
Bethel Kidane practices at 9000 Franklin Square Dr, Baltimore, MD 21237. The listed phone number is (301) 693-8629.
What is Bethel Kidane's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Bethel Kidane enrolled in Medicare?
Yes. Bethel Kidane is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Bethel Kidane was last updated on August 16, 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.
# Bethel Tewolde Kidane, PA -C · NPI 1467096438
Physician Assistant physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since November 3, 2019.
## Identity
- **NPI:** 1467096438 (Entity type: Individual)
- **Enumerated:** November 3, 2019
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 9000 FRANKLIN SQUARE DR, Baltimore, MD 21237-3901
- **Phone:** (301) 693-8629
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1467096438) · Data from the CMS NPPES public registry.