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BISRAT KIDANE GIRMAY WOLDEMICHAEL MD
NPI 1568022663
Internal Medicine in Marysville, CA

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment
5730 PACKARD AVE STE 500, MARYSVILLE, CA 95901(530) 749-3242 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2024, Jun 19, 2019 (2 updates tracked since 2019).

About Bisrat Kidane Girmay Woldemichael Md NPPES

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

BISRAT KIDANE GIRMAY WOLDEMICHAEL MD (NPI 1568022663) is an individual internal medicine provider in Marysville, California, licensed in California (A198867) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (2021).

NPPES Registry Identity

NPI1568022663
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBISRAT KIDANE GIRMAY WOLDEMICHAELCredential: MD
Location Address5730 PACKARD AVE STE 500Marysville, CA 95901-7119
Mailing Address5730 Packard Ave Ste 500Marysville, CA 95901-7119 · (760) 877-9546
Phone(530) 749-3242
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2021
Enumeration DateJune 19, 2019
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1568022663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A198867
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5730 PACKARD AVE STE 500, Marysville, CA 95901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bisrat Kidane Girmay Woldemichael 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 ID446651426
PECOS Enrollment IDI20240920002736
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.

Medicare Billing Reassignment

Medicare enrollment records show Bisrat Woldemichael reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peach Tree Healthcare
Same address
Federally Qualified Health Center (FQHC)
5730 PACKARD AVE, SUITE 500
Marysville, CA 95901
  • Reassigned Medicare billing, California enrollment
  • 55 clinicians in this Medicare group
NPI 1003863622 (530) 749-3242

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 95901 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

MELINA A DHILLON
Physician Assistant (Medical)
5730 PACKARD AVE STE 500
MARYSVILLE, CA 95901
Yuba County (530) 749-3242
MRS. FONDA KAY SHAW FNP/CNM
Nurse Practitioner
5730 PACKARD AVE STE 500
MARYSVILLE, CA 95901
Yuba County (530) 749-3242
MISS ROCIO CASTRO ROSAS LCSW
Social Worker (Clinical)
5730 PACKARD AVE STE 500
MARYSVILLE, CA 95901
Yuba County (530) 741-3242
KAUMAKAOKALANI SHIMATSU M.D.
Internal Medicine
5730 PACKARD AVE STE 500
MARYSVILLE, CA 95901
Yuba County (530) 749-3242
ANDREA SANTOS RN
Registered Nurse
5730 PACKARD AVE STE 500
MARYSVILLE, CA 95901
Yuba County (530) 749-3242
RAMESH S PUNDI MD
Obstetrics & Gynecology
5730 PACKARD AVE STE 500
MARYSVILLE, CA 95901
Yuba County (530) 741-3242
RUSSELL TYRONE HECKBURN MD
Family Medicine
5730 PACKARD AVE STE 500
MARYSVILLE, CA 95901
Yuba County (530) 749-3242
PEACH TREE HEALTHCARE
Non-emergency Medical Transport (VAN)
5730 PACKARD AVE STE 500
MARYSVILLE, CA 95901
Yuba County (530) 749-3242

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 Bisrat Woldemichael's NPI number?

The NPI number for Bisrat Woldemichael is 1568022663. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Bisrat Woldemichael located?

Bisrat Woldemichael practices at 5730 Packard Ave Ste 500, Marysville, CA 95901. The listed phone number is (530) 749-3242.

What is Bisrat Woldemichael's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bisrat Woldemichael enrolled in Medicare?

Yes. Bisrat Woldemichael is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Bisrat Woldemichael's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bisrat Woldemichael reassigns Medicare benefits to Peach Tree Healthcare (Marysville, CA). 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 Bisrat Woldemichael'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 Bisrat Woldemichael was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.