SELAMAWIT ADDISSIE MD
NPI 1578201356
Internal Medicine in Nottingham, MD

Active since May 23, 2022PECOS EnrolledAccepts Medicare Assignment
4924 CAMPBELL BLVD STE 200, NOTTINGHAM, MD 21236(443) 442-2300 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 25, 2025, May 23, 2022 (2 updates tracked since 2022).

About Selamawit Addissie Md NPPES

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

SELAMAWIT ADDISSIE MD (NPI 1578201356) is an individual internal medicine provider in Nottingham, Maryland, licensed in Maryland (D0103751) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1578201356
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSELAMAWIT ADDISSIECredential: MD
Location Address4924 CAMPBELL BLVD STE 200Nottingham, MD 21236-5914
Mailing Address5200 Eastern Avenue, Mason F. Lord Building Center Tower, 3rd Floor Room 342Baltimore, MD 21224 · (410) 550-0526
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2022
Enumeration DateMay 23, 2022
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
NPI 1578201356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D0103751
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.

4924 CAMPBELL BLVD STE 200, Nottingham, MD 21236

Secondary Practice Location 1

Location 15200 Eastern Avenue, Mason F. Lord Building Center Tower, 3rd Floor Room 342Baltimore, MD 21224 · Phone (410) 550-0526

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

Selamawit Addissie 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 ID8820476542
PECOS Enrollment IDI20250729000986
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.

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21236 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
4924 CAMPBELL BLVD STE 200
NOTTINGHAM, MD 21236
Chiropractor
4924 CAMPBELL BLVD STE 200
NOTTINGHAM, MD 21236
Family Medicine
4924 CAMPBELL BLVD STE 200
BALTIMORE, MD 21236
Nurse Practitioner (Primary Care)
4924 CAMPBELL BLVD STE 200
NOTTINGHAM, MD 21236
Internal Medicine
4924 CAMPBELL BLVD STE 200
NOTTINGHAM, MD 21236
Pediatrics
4924 CAMPBELL BLVD STE 200
NOTTINGHAM, MD 21236
Nurse Practitioner (Family)
4924 CAMPBELL BLVD STE 200
BALTIMORE, MD 21236
Internal Medicine
4924 CAMPBELL BLVD STE 200
NOTTINGHAM, MD 21236

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 Selamawit Addissie's NPI number?

The NPI number for Selamawit Addissie is 1578201356. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Where is Selamawit Addissie located?

Selamawit Addissie practices at 4924 Campbell Blvd Ste 200, Nottingham, MD 21236. The listed phone number is (443) 442-2300.

What is Selamawit Addissie's specialty?

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

Is Selamawit Addissie enrolled in Medicare?

Yes. Selamawit Addissie 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.

Is Selamawit Addissie affiliated with any hospitals?

According to CMS data, Selamawit Addissie is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Selamawit Addissie was last updated on June 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.