DR. WONDWOSEN DEMISSIE TADESSE MD
NPI 1538797774
Psychiatry & Neurology - Neurology in Morgantown, WV

Q: What is Wondwosen Tadesse's NPI number?

The NPI number for Wondwosen Tadesse is 1538797774. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Wondwosen Tadesse's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Wondwosen Tadesse was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment

1200 J D ANDERSON DR, MORGANTOWN, WV 26505(301) 618-2273 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 12, 2025, Aug 2, 2021, Apr 1, 2020 (3 updates tracked since 2020).

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About Dr. Wondwosen Demissie Tadesse Md NPPES

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

DR. WONDWOSEN DEMISSIE TADESSE MD (NPI 1538797774) is an individual neurology provider in Morgantown, West Virginia, licensed in West Virginia (35527) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1538797774

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. WONDWOSEN DEMISSIE TADESSECredential: MD

Location Address1200 J D ANDERSON DRMorgantown, WV 26505-3494

Mailing Address1200 J D Anderson DrMorgantown, WV 26505-3494

Phone(301) 618-2273

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateApril 1, 2020

Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1538797774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in WV · 35527

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 390200000X

1200 J D ANDERSON DR, Morgantown, WV 26505

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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 and accepts Medicare assignment

Dr. Wondwosen Demissie Tadesse Md 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 ID2163913500

PECOS Enrollment IDI20251113004300

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510001

Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County

Emergency services Birthing friendly

Mon Health Medical Center

Acute Care Hospitals · Morgantown, WV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510024

Location1200 Jd Anderson DriveMorgantown, WV 26505 · Monongalia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.46 typical visit price

range $53.20 – $164.59

Typical copayment $31.11 (range $13.30 – $41.14)

Most-billed visit code 99204

Established Patient

$94.81 typical visit price

range $16.47 – $133.29

Typical copayment $23.70 (range $4.11 – $33.32)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

FILIP IONESCU MD

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