MIKIYAS TESHOME DESTA MD
NPI 1548897994
Internal Medicine - Pulmonary Disease in Albuquerque, NM
About Mikiyas Teshome Desta Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIKIYAS TESHOME DESTA MD (NPI 1548897994) is an individual pulmonary disease provider in Albuquerque, New Mexico, licensed in New Mexico (MD2025-0810) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mikiyas Teshome Desta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mikiyas Teshome Desta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 2,331 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mikiyas Teshome Desta's NPI number?
The NPI number for Mikiyas Teshome Desta is 1548897994. It was assigned to this individual provider in the NPPES registry on March 25, 2020.
Where is Mikiyas Teshome Desta located?
Mikiyas Teshome Desta practices at 5901 Harper Dr NE, Albuquerque, NM 87109. The listed phone number is (505) 823-8200.
What is Mikiyas Teshome Desta's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Mikiyas Teshome Desta enrolled in Medicare?
Yes. Mikiyas Teshome Desta is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mikiyas Teshome Desta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mikiyas Teshome Desta reassigns Medicare benefits to Presbyterian Healthcare Services (Albuquerque, NM). 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 Mikiyas Teshome Desta'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 Mikiyas Teshome Desta was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mikiyas Teshome Desta, MD · NPI 1548897994
Pulmonary Disease physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since March 25, 2020.
## Identity
- **NPI:** 1548897994 (Entity type: Individual)
- **Enumerated:** March 25, 2020
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** MD2025-0810 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 5901 HARPER DR NE, Albuquerque, NM 87109-3587
- **Phone:** (505) 823-8200 · **Fax:** (505) 823-8579
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Presbyterian Healthcare Services (NPI 1104802354, Albuquerque, NM), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548897994) · Data from the CMS NPPES public registry.