1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

DR. LIDETU KEBEDE KAYAMO MD
NPI 1508669011
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since March 31, 2025PECOS Enrolled
3100 E FLETCHER AVE, TAMPA, FL 33613(813) 971-6000 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lidetu Kebede Kayamo Md NPPES

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

DR. LIDETU KEBEDE KAYAMO MD (NPI 1508669011) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508669011
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. LIDETU KEBEDE KAYAMOCredential: MD
Location Address3100 E FLETCHER AVETampa, FL 33613-4613
Mailing Address1850 Se 18th Ave Apt 2002Ocala, FL 34471-8259 · (832) 250-5560
Phone(813) 971-6000
Sole ProprietorNo
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 30, 2025
✔ NPI 1508669011 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.
3100 E FLETCHER AVE, Tampa, FL 33613
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lidetu Kebede Kayamo 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.

ELEANOR INNOCENT DPT
Physical Therapist
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 615-7200
TYLER CHRISTIAN MILLS DO
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
ALEXIS CREWS SA-C
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 615-7030
JOSUE PIERRE
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
STEPHANIE RAY KING
Specialist/Technologist, Other (Surgical Assistant)
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
DR. JONEH MARHEFKA DO
Student in an Organized Health Care Education/Training Program
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
TIMOTHY MICHAEL FABER ARNP
Nurse Practitioner
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000
LARRY L LAND MD
Emergency Medicine
3100 E FLETCHER AVE
TAMPA, FL 33613
Hillsborough County (813) 971-6000

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 Lidetu Kayamo's NPI number?

The NPI number for Lidetu Kayamo is 1508669011. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Lidetu Kayamo located?

Lidetu Kayamo practices at 3100 E Fletcher Ave, Tampa, FL 33613. The listed phone number is (813) 971-6000.

What is Lidetu Kayamo's specialty?

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

Is Lidetu Kayamo enrolled in Medicare?

Yes. Lidetu Kayamo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lidetu Kayamo was last updated on March 31, 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.