HAIMANOT MULAT NP
NPI 1740889609
Nurse Practitioner - Family in Baltimore, MD

Active since October 21, 2020PECOS EnrolledAccepts Medicare Assignment
1245 EASTERN BLVD, BALTIMORE, MD 21221(410) 558-4700 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2022, Oct 21, 2020 (2 updates tracked since 2020).

About Haimanot Mulat Np NPPES

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

HAIMANOT MULAT NP (NPI 1740889609) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R189408) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740889609
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHAIMANOT MULATCredential: NP
Location Address1245 EASTERN BLVDBaltimore, MD 21221-3422
Mailing Address4940 Eastern AveBaltimore, MD 21224-2735 · (410) 550-0255
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 21, 2020
Last NPPES UpdateJanuary 27, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2022
✔ NPI 1740889609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MD · R189408
1245 EASTERN BLVD, Baltimore, MD 21221

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Haimanot Mulat Np 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 ID9335554377
PECOS Enrollment IDI20210603002856
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Haimanot Mulat reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
5525 EASTERN AVE
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • Medicare enrollment name: Baltimore Medical System, Inc.
  • 243 clinicians in this Medicare group
Family Medicine
1099 WINTERSON RD STE 300
Linthicum Heights, MD 21090
  • Reassigned Medicare billing, Maryland enrollment
  • 121 clinicians in this Medicare group
Urgent Care
826 WASHINGTON RD, SUITE 110A
Westminster, MD 21157
  • Reassigned Medicare billing, Maryland enrollment
  • 48 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21221 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1245 EASTERN BLVD
ESSEX, MD 21221
Nurse Practitioner (Family)
1245 EASTERN BLVD
BALTIMORE, MD 21221
Advanced Practice Midwife
1245 EASTERN BLVD
BALTIMORE, MD 21221
Nurse Practitioner (Family)
1245 EASTERN BLVD
BALTIMORE, MD 21221
Nurse Practitioner (Psychiatric/Mental Health)
1245 EASTERN BLVD
BALTIMORE, MD 21221
Pediatrics
1245 EASTERN BLVD
ESSEX, MD 21221
Clinic/Center (Mental Health (Including Community Mental Health Center))
1245 EASTERN BLVD
ESSEX, MD 21221
Nurse Practitioner
1245 EASTERN BLVD
BALTIMORE, MD 21221

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 Haimanot Mulat's NPI number?

The NPI number for Haimanot Mulat is 1740889609. It was assigned to this individual provider in the NPPES registry on October 21, 2020.

Where is Haimanot Mulat located?

Haimanot Mulat practices at 1245 Eastern Blvd, Baltimore, MD 21221. The listed phone number is (410) 558-4700.

What is Haimanot Mulat's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Haimanot Mulat enrolled in Medicare?

Yes. Haimanot Mulat 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.

Which organizations bill Medicare for Haimanot Mulat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haimanot Mulat reassigns Medicare benefits to 3 organizations: Baltimore Medical Systems, Inc. (Baltimore, MD), Medstar Health Weight Management, LLC (Linthicum Heights, MD) and U N I Medical Care Inc (Westminster, MD). Each 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 Haimanot Mulat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Haimanot Mulat was last updated on January 27, 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.