YARED T TADESSE MD LLC
NPI 1568630846
Clinic/Center - Health Service in Silver Spring, MD

NPI Status: Active since February 20, 2008

Contact Information

11120 NEW HAMPSHIRE AVE
SUITE 407
SILVER SPRING, MD
ZIP 20904
Phone: (301) 681-3995
Fax: (301) 681-3803

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 21D1013784
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-16-2027

About YARED T TADESSE MD LLC

This page provides the complete NPI Profile along with additional information for Yared T Tadesse Md Llc, a provider established in Silver Spring, Maryland operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1568630846 assigned on February 2008. The practitioner's primary taxonomy code is 261QH0100X with license number W12076618 (MD). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Yared T Tadesse M.d (President, Owner & Provider)

NPI
1568630846
Provider Name
YARED T TADESSE MD LLC
Entity Type
Organization
Location Address
11120 NEW HAMPSHIRE AVE SUITE 407 SILVER SPRING, MD 20904
Location Phone
(301) 681-3995
Location Fax
(301) 681-3803
Mailing Address
11120 NEW HAMPSHIRE AVE SUITE 407 SILVER SPRING, MD 20904
Mailing Phone
(301) 681-3995
Mailing Fax
(301) 681-3803
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-20-2008
Last Update Date
02-20-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
W12076618
License State
MD

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. YARED T TADESSE M.D

Authorized Official Title
PRESIDENT, OWNER & PROVIDER
Authorized Official Phone
(301) 681-3995

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D1013784
Facility Type
Physician Office
Certificate Effective Date
June 17, 2025
Certificate Expiration Date
June 16, 2027
Laboratory Director
YARED T. TADESSE MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Yared T Tadesse Md Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568630846, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 1 + 2 + 3 + 0 + 8 + 8 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1568630846.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
11120 NEW HAMPSHIRE AVE, SUITE 407
SILVER SPRING, MD 20904
Dentist (General Practice)
11120 NEW HAMPSHIRE AVE, SUITE 301
SILVER SPRING, MD 20904
Dentist (Orthodontics and Dentofacial Orthopedics)
11120 NEW HAMPSHIRE AVE, SUITE 402
SILVER SPRING, MD 20904
Dentist (Orthodontics and Dentofacial Orthopedics)
11120 NEW HAMPSHIRE AVE, SUITE 402
SILVER SPRING, MD 20904
Physician Assistant (Medical)
11120 NEW HAMPSHIRE AVE, SUITE 408
SILVER SPRING, MD 20904
Rehabilitation Practitioner
11120 NEW HAMPSHIRE AVE, SUITE 506
SILVER SPRING, MD 20904
Audiologist
11120 NEW HAMPSHIRE AVE, SUITE 504
SILVER SPRING, MD 20904
Home Health
11120 NEW HAMPSHIRE AVE, SUITE 509
SILVER SPRING, MD 20904
Psychologist
11120 NEW HAMPSHIRE AVE, SUITE # 204
SILVER SPRING, MD 20904
Dentist (General Practice)
11120 NEW HAMPSHIRE AVE, #301
SILVER SPRING, MD 20904
Nurse Practitioner (Psychiatric/Mental Health)
11120 NEW HAMPSHIRE AVE, SUITE # 204
SILVER SPRING, MD 20904
Social Worker (Clinical)
11120 NEW HAMPSHIRE AVE, SUITE 204
SILVER SPRING, MD 20904
Nurse Practitioner (Psychiatric/Mental Health)
11120 NEW HAMPSHIRE AVE, SUITE # 204
SILVER SPRING, MD 20904
Psychologist (Clinical)
11120 NEW HAMPSHIRE AVE, SUITE # 204
SILVER SPRING, MD 20904
Family Medicine (Sports Medicine)
11120 NEW HAMPSHIRE AVE, SUITE 411
SILVER SPRING, MD 20904
Audiologist
11120 NEW HAMPSHIRE AVE, SUITE 504
SILVER SPRING, MD 20904
Physical Therapist (Hand)
11120 NEW HAMPSHIRE AVE, SUITE 200
SILVER SPRING, MD 20904
Acupuncturist
11120 NEW HAMPSHIRE AVE, SUITE 409
SILVER SPRING, MD 20904
Nurse Practitioner
11120 NEW HAMPSHIRE AVE, SUITE 501
SILVER SPRING, MD 20904
Radiology (Diagnostic Radiology)
11120 NEW HAMPSHIRE AVE, SUITE 103
SILVER SPRING, MD 20904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568630846, enumerated as an "organization" on February 20, 2008.

The provider is located at 11120 NEW HAMPSHIRE AVE SUITE 407 SILVER SPRING, MD 20904 and the phone number is (301) 681-3995.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.