DR. DEREJE WORETA MD
NPI 1922156579
Internal Medicine in Silver Spring, MD

Active since January 08, 2007PECOS Enrolled
12201 PLUM ORCHARD DRIVE, SILVER SPRING, MD 20904(301) 572-3415(301) 572-3398 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Dereje Woreta Md NPPES

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

DR. DEREJE WORETA MD (NPI 1922156579) is an individual internal medicine provider in Silver Spring, Maryland, licensed in Maryland (D0051963) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922156579
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DEREJE WORETACredential: MD
Location Address12201 PLUM ORCHARD DRIVESilver Spring, MD 20904-7803
Mailing Address2101 E Jefferson St, Kaiser Permanente Medicare EnrollmentRockville, MD 20852-4908 · (301) 816-2424 · Fax (301) 816-6308
Fax(301) 572-3398
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJune 1, 2021
NPPES CertifiedJune 1, 2021
✔ NPI 1922156579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MD · D0051963✔ Licensed in VA · 0101058619✔ Licensed in DC · MD30444
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.
12201 PLUM ORCHARD DRIVE, Silver Spring, MD 20904

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dereje Woreta Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Dereje Woreta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
10410 NORTH KENSINGTON PARKWAY
Kensington, MD 20895
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1285752121 (Maryland)
  • 2,492 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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20904 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 8

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

Internal Medicine (Nephrology)
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Family Medicine
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Pediatrics (Adolescent Medicine)
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Optometrist
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Family Medicine
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Orthopaedic Surgery
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Internal Medicine (Rheumatology)
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904
Pediatrics
12201 PLUM ORCHARD DRIVE
SILVER SPRING, MD 20904

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 Dereje Woreta's NPI number?

The NPI number for Dereje Woreta is 1922156579. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Dereje Woreta located?

Dereje Woreta practices at 12201 Plum Orchard Drive, Silver Spring, MD 20904. The listed phone number is (301) 572-3415.

What is Dereje Woreta's specialty?

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

Is Dereje Woreta enrolled in Medicare?

Yes. Dereje Woreta is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dereje Woreta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dereje Woreta reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Kensington, MD). The 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 Dereje Woreta'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 Dereje Woreta was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.