SEGID BERHANE TEKLEHAIMANOT MD
NPI 1659168748
Student in an Organized Health Care Education/Training Program in Saint Louis, MO
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Segid Berhane Teklehaimanot Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
SAINT LOUIS, MO 63104
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 Segid Teklehaimanot's NPI number?
The NPI number for Segid Teklehaimanot is 1659168748. It was assigned to this individual provider in the NPPES registry on April 22, 2025.
Where is Segid Teklehaimanot located?
Segid Teklehaimanot practices at 1438 S Grand Blvd, Saint Louis, MO 63104. The listed phone number is (636) 543-5588.
What is Segid Teklehaimanot's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Segid Teklehaimanot enrolled in Medicare?
Yes. Segid Teklehaimanot is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Segid Teklehaimanot was last updated on April 22, 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.
# Segid Berhane Teklehaimanot, MD · NPI 1659168748
Student in an Organized Health Care Education/Training Program provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since April 22, 2025.
## Identity
- **NPI:** 1659168748 (Entity type: Individual)
- **Enumerated:** April 22, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1438 S GRAND BLVD, Saint Louis, MO 63104-1027
- **Phone:** (636) 543-5588
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659168748) · Data from the CMS NPPES public registry.