BETELHEM GEBREMICHEL WOLDEMARIAM
NPI 1801322813
Internal Medicine in Providence, RI

Q: What is Betelhem Woldemariam's NPI number?

The NPI number for Betelhem Woldemariam is 1801322813. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Q: What is Betelhem Woldemariam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment

593 EDDY ST, PROVIDENCE, RI 02903(401) 793-2920(401) 444-8301 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2026, May 4, 2022, May 11, 2017 (3 updates tracked since 2017).

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About Betelhem Gebremichel Woldemariam NPPES

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

BETELHEM GEBREMICHEL WOLDEMARIAM (NPI 1801322813) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD21299) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1801322813

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameBETELHEM GEBREMICHEL WOLDEMARIAM

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912

Phone(401) 793-2920

Fax(401) 444-8301

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 11, 2017

Last NPPES UpdateAugust 12, 20263 updates tracked since enumeration

NPPES CertifiedAugust 12, 2026

✔ NPI 1801322813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in RI · MD21299

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

593 EDDY ST, Providence, RI 02903

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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

Betelhem Gebremichel Woldemariam 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 ID9133547318

PECOS Enrollment IDI20220926001634

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

Medicare enrollment records show Betelhem Woldemariam reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rhode Island Hospital

Same address

Hematology & Oncology

593 EDDY ST
Providence, RI 02903

Reassigned Medicare billing, Rhode Island enrollment
182 clinicians in this Medicare group

NPI 1396849782 (401) 444-5291

Hospitalist Medicine Physicians Of Fredericksburg, LLC

402 mi

Internal Medicine

1001 SAM PERRY BLVD
Fredericksburg, VA 22401

Reassigned Medicare billing, Virginia enrollment
258 clinicians in this Medicare group

NPI 1447577572 (330) 493-4443

Hospitalist Medicine Physicians Of Virginia - Richmond, LLC

437 mi

Internal Medicine

5801 BREMO RD
Richmond, VA 23226

Reassigned Medicare billing, Virginia enrollment
104 clinicians in this Medicare group

NPI 1699311324 (804) 285-2011

Cogent Healthcare Of Jacksonville, LLC

975 mi

Internal Medicine

655 W 8TH ST
Jacksonville, FL 32209

Reassigned Medicare billing, Florida enrollment
440 clinicians in this Medicare group

NPI 1124252333 (904) 244-3850

Sound Physicians Of Florida Vi LLC

1,186 mi

Internal Medicine

4725 N FEDERAL HWY
Fort Lauderdale, FL 33308

Reassigned Medicare billing, Florida enrollment
197 clinicians in this Medicare group

NPI 1417761073 (954) 771-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

149 services55 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

133 services61 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

46 services43 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers12 claims12 services$14.89 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$4.04 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$69.63 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

FANNY HUANG MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4741

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 Betelhem Woldemariam's NPI number?

The NPI number for Betelhem Woldemariam is 1801322813. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Betelhem Woldemariam located?

Betelhem Woldemariam practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 793-2920.

What is Betelhem Woldemariam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Betelhem Woldemariam enrolled in Medicare?

Yes. Betelhem Woldemariam 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 Betelhem Woldemariam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Betelhem Woldemariam reassigns Medicare benefits to 5 organizations: Rhode Island Hospital (Providence, RI), Hospitalist Medicine Physicians Of Fredericksburg, LLC (Fredericksburg, VA), Hospitalist Medicine Physicians Of Virginia - Richmond, LLC (Richmond, VA), Cogent Healthcare Of Jacksonville, LLC (Jacksonville, FL) and Sound Physicians Of Florida Vi LLC (Fort Lauderdale, FL). 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 Betelhem Woldemariam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Betelhem Woldemariam accept?

Health plans from Molina Healthcare list Betelhem Woldemariam 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.

Is Betelhem Woldemariam affiliated with any hospitals?

According to CMS data, Betelhem Woldemariam is affiliated with Shands Jacksonville.

When was this NPI record last updated?

The NPPES record for Betelhem Woldemariam was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.