SEGID BERHANE TEKLEHAIMANOT MD
NPI 1659168748
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since April 22, 2025PECOS Enrolled
1438 S GRAND BLVD, SAINT LOUIS, MO 63104(636) 543-5588 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Segid Berhane Teklehaimanot Md NPPES

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

SEGID BERHANE TEKLEHAIMANOT MD (NPI 1659168748) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659168748
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSEGID BERHANE TEKLEHAIMANOTCredential: MD
Location Address1438 S GRAND BLVDSaint Louis, MO 63104-1027
Mailing Address6118 41st AveHyattsville, MD 20782-3077 · (240) 971-6926
Sole ProprietorNo
Enumeration DateApril 22, 2025
NPPES CertifiedApril 14, 2025
NPI 1659168748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1438 S GRAND BLVD, Saint Louis, MO 63104

Medicare Participation & PECOS Enrollment Status

Segid Teklehaimanot is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Other Providers at the Same Location


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

Psychiatry & Neurology (Neurology)
1438 S GRAND BLVD, ST. LOUIS UNIVERSITY, DEPT. NEUROLOGY & PSYCHIATRY
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Psychiatry)
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Psychiatry)
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Psychiatry & Neurology (Neurology)
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Social Worker
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104
Student in an Organized Health Care Education/Training Program
1438 S GRAND BLVD
SAINT LOUIS, MO 63104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659168748, enumerated as an "individual" on April 22, 2025.

The provider is located at 1438 S GRAND BLVD SAINT LOUIS, MO 63104 and the phone number is (636) 543-5588.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.