MIKIYAS TESHOME DESTA MD
NPI 1548897994
Internal Medicine - Pulmonary Disease in Albuquerque, NM

Active since March 25, 2020PECOS Enrolled
5901 HARPER DR NE, ALBUQUERQUE, NM 87109(505) 823-8200(505) 823-8579 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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.

NPPES Registry Identity

NPI1548897994
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameMIKIYAS TESHOME DESTACredential: MD
Location Address5901 HARPER DR NEAlbuquerque, NM 87109-3587
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666
Fax(505) 823-8579
Sole ProprietorNo
Enumeration DateMarch 25, 2020
Last NPPES UpdateJuly 3, 2026
NPPES CertifiedJuly 3, 2026
NPI 1548897994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NM · MD2025-0810
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
5901 HARPER DR NE, Albuquerque, NM 87109

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mikiyas Teshome Desta 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.

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.

New Patient
$126.21 typical visit price
range $54.26 – $166.80
Typical copayment $31.55 (range $13.56 – $41.70)
Most-billed visit code 99204
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Family Medicine
5901 HARPER DR NE, PMG URGENT CARE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Family)
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Specialist
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Family)
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Family Medicine
5901 HARPER DR NE, PMG URGENT CARE
ALBUQUERQUE, NM 87109
Family Medicine
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Family Medicine
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Physician Assistant
5901 HARPER DR NE
ALBUQUERQUE, NM 87109

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.

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 2 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.