Provider Type Icon

DR. ADERAJEW AMSALU TADDESSE MD NPI 1982068094


NPI Information

NPI: 1982068094
Provider Name: DR. ADERAJEW AMSALU TADDESSE, MD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
15 FRANCIS ST
BOSTON, MA
ZIP 02115
Phone: (617) 732-7420
Get Directions

DR. Aderajew Amsalu Taddesse, MD is a student in an organized health care education training program in Boston, MA. The provider is 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. DR. Aderajew Amsalu Taddesse, MD NPI is 1982068094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 FRANCIS ST
BOSTON, MA
ZIP 02115-105
Phone: (617) 732-7420
Fax: (617) 732-7421

The NPI 1982068094 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/6/2016 and was last updated on 4/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine291746MASSACHUSETTSNo
2207RP1001XInternal MedicinePulmonary Disease291746MASSACHUSETTSNo
3390200000XStudent in an Organized Health Care Education/Training Program291746MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.