YARED ASTAWESEGN WONDEMAGEGN MD
NPI 1720729585
Student in an Organized Health Care Education/Training Program in Fort Worth, TX
About Yared Astawesegn Wondemagegn Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YARED ASTAWESEGN WONDEMAGEGN MD (NPI 1720729585) is an individual student in an organized health care education/training program in Fort Worth, Texas and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Yared Astawesegn Wondemagegn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Yared Wondemagegn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Granite Falls, NC 28630
- Reassigned Medicare billing, North Carolina enrollment
- 583 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Yared Wondemagegn's NPI number?
The NPI number for Yared Wondemagegn is 1720729585. It was assigned to this individual provider in the NPPES registry on April 5, 2022.
Where is Yared Wondemagegn located?
Yared Wondemagegn practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 702-1244.
What is Yared Wondemagegn's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Yared Wondemagegn enrolled in Medicare?
Yes. Yared Wondemagegn is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Yared Wondemagegn's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Yared Wondemagegn reassigns Medicare benefits to Wake Forest Health Network LLC (Granite Falls, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Yared Wondemagegn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Yared Wondemagegn accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Yared Wondemagegn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Yared Wondemagegn was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Yared Astawesegn Wondemagegn, MD · NPI 1720729585
Student in an Organized Health Care Education/Training Program provider in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1720729585 (Entity type: Individual)
- **Enumerated:** April 5, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 S MAIN ST, Fort Worth, TX 76104-4941
- **Phone:** (817) 702-1244
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wake Forest Health Network LLC (NPI 1770858938, Granite Falls, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At Houston, class of 2022
## Record status
- **NPPES last updated:** April 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720729585) · Data from the CMS NPPES public registry.