DR. CAROLINE BEKELE MD
NPI 1962935767
Family Medicine in Atlanta, GA

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
1080 PEACHTREE ST NE STE 12, ATLANTA, GA 30309(404) 253-3660 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 1, 2020, Aug 11, 2020, Feb 28, 2020 (3 updates tracked since 2020).

About Dr. Caroline Bekele Md NPPES

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

DR. CAROLINE BEKELE MD (NPI 1962935767) is an individual family medicine provider in Atlanta, Georgia, licensed in Georgia (82798) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Piedmont Hospital, and is a graduate of Florida State University College Of Medicine (2017).

NPPES Registry Identity

NPI1962935767
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CAROLINE BEKELECredential: MD
Location Address1080 PEACHTREE ST NE STE 12Atlanta, GA 30309-6857
Mailing AddressPo Box 102321Atlanta, GA 30368-2321
Sole ProprietorNo
Medical School CMSFlorida State University College Of MedicineGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateOctober 1, 20203 updates tracked since enumeration
NPPES CertifiedOctober 1, 2020
NPI 1962935767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 82798
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1080 PEACHTREE ST NE STE 12, Atlanta, GA 30309

Accepted Insurance

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

Dr. Caroline Bekele 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 ID4587076641
PECOS Enrollment IDI20201214001817
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 2

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.
24 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Other Providers at the Same Location NPPES 7

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

Internal Medicine
1080 PEACHTREE ST NE STE 12
ATLANTA, GA 30309
Family Medicine
1080 PEACHTREE ST NE STE 12
ATLANTA, GA 30309
Internal Medicine
1080 PEACHTREE ST NE STE 12
ATLANTA, GA 30309
Family Medicine
1080 PEACHTREE ST NE STE 12
ATLANTA, GA 30309
Family Medicine
1080 PEACHTREE ST NE STE 12
ATLANTA, GA 30309
Internal Medicine
1080 PEACHTREE ST NE STE 12
ATLANTA, GA 30309
Family Medicine
1080 PEACHTREE ST NE STE 12
ATLANTA, GA 30309

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 Caroline Bekele's NPI number?

The NPI number for Caroline Bekele is 1962935767. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Caroline Bekele located?

Caroline Bekele practices at 1080 Peachtree St NE Ste 12, Atlanta, GA 30309. The listed phone number is (404) 253-3660.

What is Caroline Bekele's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Caroline Bekele enrolled in Medicare?

Yes. Caroline Bekele 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.

What insurance does Caroline Bekele accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Caroline Bekele 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 Caroline Bekele affiliated with any hospitals?

According to CMS data, Caroline Bekele is affiliated with Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for Caroline Bekele was last updated on October 1, 2020. 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.