ZESEMAYAT KIDANU MEKONNEN MD, MSC
NPI 1508445933
Student in an Organized Health Care Education/Training Program in Seattle, WA

Active since April 04, 2021PECOS EnrolledAccepts Medicare Assignment
1959 NE PACIFIC ST, SEATTLE, WA 98195(206) 543-3605 Get Directions Write a Review

NPPES record last updated: April 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Zesemayat Kidanu Mekonnen Md, Msc NPPES

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

ZESEMAYAT KIDANU MEKONNEN MD, MSC (NPI 1508445933) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Francisco School Of Medicine (2021).

NPPES Registry Identity

NPI1508445933
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameZESEMAYAT KIDANU MEKONNENCredential: MD, MSC
Location Address1959 NE PACIFIC STSeattle, WA 98195-0001
Mailing Address1959 Ne Pacific Street Box 356421Seattle, WA 98195-6421 · (206) 543-3605
Sole ProprietorNo
Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2021
Enumeration DateApril 4, 2021
NPPES CertifiedApril 4, 2021
✔ NPI 1508445933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1959 NE PACIFIC ST, Seattle, WA 98195

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

Zesemayat Kidanu Mekonnen Md, Msc 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.

PECOS PAC ID7810399052
PECOS Enrollment IDI20251209002977
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.

Medicare Billing Reassignment

Medicare enrollment records show Zesemayat Mekonnen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
43112 N 15TH ST
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

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.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST
SEATTLE, WA 98195
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1959 NE PACIFIC ST, 3RD FLOOR SW 350
SEATTLE, WA 98195
Occupational Therapist
1959 NE PACIFIC ST, MAILBOX 356490
SEATTLE, WA 98195
Ophthalmology
1959 NE PACIFIC ST, BOX 365485
SEATTLE, WA 98195
Anesthesiology
1959 NE PACIFIC ST
SEATTLE, WA 98195
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1959 NE PACIFIC ST, BOX 356015
SEATTLE, WA 98195
Pathology (Anatomic Pathology & Clinical Pathology)
1959 NE PACIFIC ST, BOX 356100
SEATTLE, WA 98195
Hospitalist
1959 NE PACIFIC ST
SEATTLE, WA 98195

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 Zesemayat Mekonnen's NPI number?

The NPI number for Zesemayat Mekonnen is 1508445933. It was assigned to this individual provider in the NPPES registry on April 4, 2021.

Where is Zesemayat Mekonnen located?

Zesemayat Mekonnen practices at 1959 NE Pacific St, Seattle, WA 98195. The listed phone number is (206) 543-3605.

What is Zesemayat Mekonnen's specialty?

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

Is Zesemayat Mekonnen enrolled in Medicare?

Yes. Zesemayat Mekonnen 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 organization bills Medicare for Zesemayat Mekonnen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zesemayat Mekonnen reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The 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 Zesemayat Mekonnen'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 Zesemayat Mekonnen was last updated on April 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.