MEHERET MEKONNEN MD, MS
NPI 1619765880
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Meheret Mekonnen's NPI number?

The NPI number for Meheret Mekonnen is 1619765880. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Q: What is Meheret Mekonnen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Meheret Mekonnen was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 28, 2025PECOS Enrolled

833 CHESTNUT ST FL 1, PHILADELPHIA, PA 19107(215) 955-6776(215) 923-1089 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Meheret Mekonnen Md, Ms NPPES

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

MEHERET MEKONNEN MD, MS (NPI 1619765880) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619765880

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMEHERET MEKONNENCredential: MD, MS

Location Address833 CHESTNUT ST FL 1Philadelphia, PA 19107-4404

Mailing Address833 Chestnut St Fl 1Philadelphia, PA 19107-4404 · (215) 955-1085 · Fax (215) 955-5041

Phone(215) 955-6776

Fax(215) 923-1089

Sole ProprietorNo

Enumeration DateApril 28, 2025

NPPES CertifiedApril 28, 2025

✔ NPI 1619765880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

833 CHESTNUT ST FL 1, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meheret Mekonnen Md, Ms 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.

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.

FARHEEN ZAMAN

Student in an Organized Health Care Education/Training Program