TSION A KETEMA MD
NPI 1952694614
Obstetrics & Gynecology in Washington, DC

Q: What is Tsion Ketema's NPI number?

The NPI number for Tsion Ketema is 1952694614. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Q: What is Tsion Ketema's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Tsion Ketema was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since May 26, 2011PECOS EnrolledAccepts Medicare Assignment

74.7/100

CMS Quality Rating

1133 21ST ST NW STE 200, WASHINGTON, DC 20036(202) 331-1740 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2024, Dec 21, 2016 (2 updates tracked since 2016).

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About Tsion A Ketema Md NPPES

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

TSION A KETEMA MD (NPI 1952694614) is an individual obstetrics & gynecology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD046232) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2011).

NPPES Registry Identity

NPI1952694614

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameTSION A KETEMACredential: MD

Location Address1133 21ST ST NW STE 200Washington, DC 20036-3324

Mailing Address1133 21st St Nw Ste 200Washington, DC 20036-3324 · (202) 331-1740

Phone(202) 331-1740

Sole ProprietorYes

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2011

Enumeration DateMay 26, 2011

Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1952694614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in DC · MD046232✔ Licensed in NH · 17969✔ Licensed in MD · D0085539✔ Licensed in VA · 0101264925

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1133 21ST ST NW STE 200, Washington, DC 20036

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Secondary Practice Locations 2

Location 15530 Wisconsin Ave Ste 604Chevy Chase, MD 20815-4430 · Phone (301) 654-5700

Location 2407 N Washington St Ste 105Falls Church, VA 22046-3436 · Phone (703) 533-9211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tsion A Ketema Md 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 ID6507154085

PECOS Enrollment IDI20181106001234

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.

Areas of Expertise CMS Part B claims 5

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.

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

24 services24 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

23 services23 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

23 services23 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services19 patients

Complete ultrasound scan of pelvis 76856

A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20036 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

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

96.26

Improvement Activities

Cost

20.65

Other Providers at the Same Location NPPES 10

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

BRITTANY NICOLE HECK

Obstetrics & Gynecology