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TSEGAYE WESENSEGED GEBREAMLAK
NPI 1861381444
Student in an Organized Health Care Education/Training Program in Berwyn, IL

Active since June 30, 2025PECOS Enrolled
3249 OAK PARK AVE, BERWYN, IL 60402(708) 783-6566(708) 783-6567 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Dec 10, 2025, Jun 30, 2025 (2 updates tracked since 2025).

About Tsegaye Wesenseged Gebreamlak NPPES

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

TSEGAYE WESENSEGED GEBREAMLAK (NPI 1861381444) is an individual student in an organized health care education/training program in Berwyn, Illinois, licensed in Illinois (125084739) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861381444
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTSEGAYE WESENSEGED GEBREAMLAK
Location Address3249 OAK PARK AVEBerwyn, IL 60402-3429
Mailing Address3722 Harlem AveRiverside, IL 60546-2312 · (708) 783-6566 · Fax (708) 783-6567
Phone(708) 783-6566
Fax(708) 783-6567
Sole ProprietorYes
Enumeration DateJune 30, 2025
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1861381444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in IL · 125084739
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.084739 (IL)
3249 OAK PARK AVE, Berwyn, IL 60402
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tsegaye Wesenseged Gebreamlak 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.

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.

MRS. DANIELLE GENGO R.D.
Dietitian, Registered
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-3077
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
General Practice
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-3125
MARIA RAMIREZ
Family Medicine
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-9100
PATRICIA NAUGHTON MD
Obstetrics & Gynecology
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-3792
PAUL G FAINE M.D.
Emergency Medicine
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-9100
DR. BHARTI RAIZADA M.D,
Anesthesiology
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-6339
SHEENA REDDY KODAVALURU M.D.
Internal Medicine
3249 OAK PARK AVE, MACNEAL HOSPITAL
BERWYN, IL 60402
Cook County (708) 783-9100
DR. ANGELA DIANIRA ALCARRAZ BEDRILLANA MD
Student in an Organized Health Care Education/Training Program
3249 OAK PARK AVE
BERWYN, IL 60402
Cook County (708) 783-6566

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 Tsegaye Gebreamlak's NPI number?

The NPI number for Tsegaye Gebreamlak is 1861381444. It was assigned to this individual provider in the NPPES registry on June 30, 2025.

Where is Tsegaye Gebreamlak located?

Tsegaye Gebreamlak practices at 3249 Oak Park Ave, Berwyn, IL 60402. The listed phone number is (708) 783-6566.

What is Tsegaye Gebreamlak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tsegaye Gebreamlak enrolled in Medicare?

Yes. Tsegaye Gebreamlak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tsegaye Gebreamlak was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.