DR. ISRAEL TADESSE WOLDEYESUS MD - NPI 1518769082 - Student in an Organized Health Care Education/Training Program in Boston, MA

Q: What is Israel Woldeyesus's NPI number?

The NPI number for Israel Woldeyesus is 1518769082. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Q: What is Israel Woldeyesus's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Israel Woldeyesus was last updated on March 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Israel Tadesse Woldeyesus Md NPPES

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

DR. ISRAEL TADESSE WOLDEYESUS MD (NPI 1518769082) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518769082

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. ISRAEL TADESSE WOLDEYESUSCredential: MD

Location Address670 ALBANY ST STE 3Boston, MA 02118-2653

Mailing Address670 Albany St Ste 3Boston, MA 02118-2653 · (617) 414-5314 · Fax (617) 414-5315

Phone(617) 414-5314

Fax(617) 414-5315

Sole ProprietorNo

Enumeration DateMarch 26, 2025

NPPES CertifiedMarch 26, 2025

✔ NPI 1518769082 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.

670 ALBANY ST STE 3, Boston, MA 02118

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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)

Dr. Israel Tadesse Woldeyesus 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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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