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DR. MOGES LEMMA HAILEMARIAM FNP/DNP
NPI 1750031068
Nurse Practitioner - Family in Emeryville, CA

Active since March 28, 2022PECOS Enrolled
1335 STANFORD AVE, EMERYVILLE, CA 94608(510) 647-5101(510) 647-5105 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2024, Jan 27, 2023, May 13, 2022 (3 updates tracked since 2022).

About Dr. Moges Lemma Hailemariam Fnp/dnp NPPES

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

DR. MOGES LEMMA HAILEMARIAM FNP/DNP (NPI 1750031068) is an individual family provider in Emeryville, California, licensed in California (95020486) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Pablo.

NPPES Registry Identity

NPI1750031068
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. MOGES LEMMA HAILEMARIAMCredential: FNP/DNP
Location Address1335 STANFORD AVEEmeryville, CA 94608-2536
Mailing Address1335 Stanford AveEmeryville, CA 94608-2536 · (510) 647-5101
Phone(510) 647-5101
Fax(510) 647-5105
Sole ProprietorYes
Enumeration DateMarch 28, 2022
Last NPPES UpdateOctober 8, 20243 updates tracked since enumeration
NPPES CertifiedOctober 8, 2024
✔ NPI 1750031068 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 CA · 95020486
1335 STANFORD AVE, Emeryville, CA 94608
Open in Google Maps ↗

Other Names 1

Other Name (5)Na Na Na Na

Secondary Practice Location 1

Location 13160 Garrity WaySan Pablo, CA 94806-1983 · Phone (510) 758-7462 · Fax (866) 509-2661

Other Identifiers 1

Other6360511283DC · National Registry Of Certified Medical Examiner

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Moges Lemma Hailemariam Fnp/dnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94608 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 20

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

NAZIR NOOR MD
Pain Medicine (Interventional Pain Medicine)
1335 STANFORD AVE
EMERYVILLE, CA 94608
Alameda County (510) 647-5101
ANGELA LUU PA
Physician Assistant
1335 STANFORD AVE
EMERYVILLE, CA 94608
Alameda County (510) 647-5101
LYUDMILA KUZNETSOVA
Psychologist (Clinical)
1335 STANFORD AVE
EMERYVILLE, CA 94608
Alameda County (415) 806-8179
MR. NEIL KAMLESH KAMDAR M.D.
Anesthesiology (Pain Medicine)
1335 STANFORD AVE
EMERYVILLE, CA 94608
Alameda County (510) 647-5101
MS. ANN CLAIRE MCWALTERS LCSW #19909
Counselor (Mental Health)
1335 STANFORD AVE
EMERYVILLE, CA 94608
Alameda County (510) 647-5101
MARK PHILLIPS
Physician Assistant
1335 STANFORD AVE
EMERYVILLE, CA 94608
Alameda County (510) 647-5101
MS. CARRIE CHRISTINE VOYCE FNP-C
Nurse Practitioner (Family)
1335 STANFORD AVE
EMERYVILLE, CA 94608
Alameda County (510) 647-5101
JENNIFER LYNN VAN BUSKIRK PA-C
Physician Assistant
1335 STANFORD AVE
EMERYVILLE, CA 94608
Alameda County (510) 647-5101

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 Moges Hailemariam's NPI number?

The NPI number for Moges Hailemariam is 1750031068. It was assigned to this individual provider in the NPPES registry on March 28, 2022. The provider is also known as Na Na Na Na.

Where is Moges Hailemariam located?

Moges Hailemariam practices at 1335 Stanford Ave, Emeryville, CA 94608. The listed phone number is (510) 647-5101.

What is Moges Hailemariam's specialty?

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

Is Moges Hailemariam enrolled in Medicare?

Yes. Moges Hailemariam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Moges Hailemariam was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.