LIDET TESEMA
NPI 1861237976
Registered Nurse - Critical Care Medicine in Ellicott City, MD
About Lidet Tesema NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIDET TESEMA (NPI 1861237976) is an individual critical care medicine provider in Ellicott City, Maryland, licensed in Maryland (R223458) and active in the NPI registry since June 2024. She is affiliated with Holy Cross Hospital and is a graduate of University Of Maryland School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses 2
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
Lidet Tesema 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lidet Tesema reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbia, MD 21046
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 717 clinicians in this Medicare group
Randallstown, MD 21133
- Reassigned Medicare billing, Maryland enrollment
- 135 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Cross Hospital
Acute Care Hospitals · Silver Spring, MDHoly Cross Germantown Hospital
Acute Care Hospitals · Germantown, MDFrequently 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 Lidet Tesema's NPI number?
The NPI number for Lidet Tesema is 1861237976. It was assigned to this individual provider in the NPPES registry on June 28, 2024.
Where is Lidet Tesema located?
Lidet Tesema practices at 11789 Triadelphia Rd, Ellicott City, MD 21042. The listed phone number is (240) 764-9932.
What is Lidet Tesema's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Critical Care Medicine, with taxonomy code 163WC0200X.
Is Lidet Tesema enrolled in Medicare?
Yes. Lidet Tesema 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 Lidet Tesema's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lidet Tesema reassigns Medicare benefits to 2 organizations: First Colonies Anesthesia Associates, LLC (Columbia, MD) and Lifebridge Anesthesia Associates, LLC (Randallstown, 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 Lidet Tesema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lidet Tesema affiliated with any hospitals?
According to CMS data, Lidet Tesema is affiliated with Holy Cross Hospital and Holy Cross Germantown Hospital.
When was this NPI record last updated?
The NPPES record for Lidet Tesema was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.
# Lidet Tesema · NPI 1861237976
Critical Care Medicine provider in Ellicott City, Maryland. Individual provider, active in the CMS NPPES registry since June 28, 2024.
## Identity
- **NPI:** 1861237976 (Entity type: Individual)
- **Enumerated:** June 28, 2024
- **Primary specialty:** Registered Nurse - Critical Care Medicine · taxonomy 163WC0200X
- **State license:** R223458 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 11789 TRIADELPHIA RD, Ellicott City, MD 21042-1001
- **Phone:** (240) 764-9932
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): First Colonies Anesthesia Associates, LLC (NPI 1740218767, Columbia, MD); Lifebridge Anesthesia Associates, LLC (NPI 1003992868, Randallstown, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Maryland School Of Medicine, class of 2025
## Record status
- **NPPES last updated:** November 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861237976) · Data from the CMS NPPES public registry.