1. Home
  2. Directory
  3. Kansas
  4. Liberal
  5. Physician Assistant
  6. NPI Profile

MR. BEREKET T WOLDEMARIAM PA-C
NPI 1578950119
Physician Assistant in Liberal, KS

Active since April 21, 2015PECOS EnrolledAccepts Medicare Assignment
315 W 15TH ST, LIBERAL, KS 67901(620) 629-6477(620) 629-6651 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 23, 2017, Mar 24, 2016 (2 updates tracked since 2016).

About Mr. Bereket T Woldemariam Pa-c NPPES

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

MR. BEREKET T WOLDEMARIAM PA-C (NPI 1578950119) is an individual physician assistant in Liberal, Kansas, licensed in Kansas (1501810) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Sinai Hospital Of Baltimore, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1578950119
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BEREKET T WOLDEMARIAMCredential: PA-C
Location Address315 W 15TH STLiberal, KS 67901-2455
Mailing AddressPo Box 1215, Attn Clinic Billing OfficeLiberal, KS 67905-1215 · (620) 629-6638 · Fax (620) 629-6684
Phone(620) 629-6477
Fax(620) 629-6651
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 21, 2015
Last NPPES UpdateMarch 8, 20172 updates tracked since enumeration
✔ NPI 1578950119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KS · 1501810
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
315 W 15TH ST, Liberal, KS 67901
Open in Google Maps ↗

Other Identifiers 3

Medicaid201129150AKS
Medicaid200647940AOK
Medicare PIN110607024KS

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

Mr. Bereket T Woldemariam Pa-c 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 ID5597085415
PECOS Enrollment IDI20210621000929
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
373 services187 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
206 services199 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
168 services167 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
110 services71 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
42 services42 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sinai Hospital Of Baltimore

Acute Care Hospitals · Baltimore, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210012
Location2401 West Belvedere AvenueBaltimore, MD 21215 · Baltimore City County
Emergency services Birthing friendly

Carroll Hospital Center

Acute Care Hospitals · Westminster, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210033
Location200 Memorial AvenueWestminster, MD 21157 · Carroll County
Emergency services Birthing friendly

Levindale Hebrew Geriatric Center And Hospital

Acute Care Hospitals · Baltimore, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210064
Location2434 West Belvedere AvenueBaltimore, MD 21209 · Baltimore City County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67901 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$66.40 typical visit price
range $16.88 – $132.11
Typical copayment $16.60 (range $4.22 – $33.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
6 suppliers75 claims75 services$15.50 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims26 services$5.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
7 suppliers86 claims86 services$81.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

CARMELITA CAEDO MD RADIOLOGY PA
Radiology (Diagnostic Radiology)
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 624-1651
SOUTHWEST MEDICAL CENTER
Internal Medicine
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 624-1651
UNNATI BASNYAT PA-C
Physician Assistant (Medical)
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 629-6477
ROYCE E FRAZIER LCMFT
Marriage & Family Therapist
315 W 15TH ST, BOX 1340
LIBERAL, KS 67901
Seward County (620) 624-1651
CARMELITA D CAEDO MD
Radiology (Pediatric Radiology)
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 624-1651
DR. CHRISTOPHER DOUGLAS KOONS PHARM. D.
Pharmacist
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 624-1651
LAUREN TAYLOR BOYCE PA-C
Physician Assistant (Medical)
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 629-6477
SOUTHWEST MEDICAL CENTER
Radiology (Diagnostic Radiology)
315 W 15TH ST
LIBERAL, KS 67901
Seward County (620) 624-1651

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 Bereket Woldemariam's NPI number?

The NPI number for Bereket Woldemariam is 1578950119. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Bereket Woldemariam located?

Bereket Woldemariam practices at 315 W 15th St, Liberal, KS 67901. The listed phone number is (620) 629-6477.

What is Bereket Woldemariam's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bereket Woldemariam enrolled in Medicare?

Yes. Bereket Woldemariam 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 Bereket Woldemariam affiliated with any hospitals?

According to CMS data, Bereket Woldemariam is affiliated with Sinai Hospital Of Baltimore, Carroll Hospital Center and Levindale Hebrew Geriatric Center And Hospital.

When was this NPI record last updated?

The NPPES record for Bereket Woldemariam was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.