Individual provider Active NPI

Selamawit Yemane-Merriwether, MD

  • Emergency Medicine Physician
  • Bowie, MD
National Provider Identifier
1023304409
Registry record updated Apr 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D76825 Issued in MD
Practice address
4101 Northview Dr
Bowie, MD 20716-2616
Phone
(301) 383-2559
Fax
(301) 383-2549
NPI assigned
Jun 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D76825 MD Primary

Addresses

Primary practice location

4101 Northview Dr
Bowie, MD 20716-2616

Mailing address

5119 W Apollo Rd
Laveen, AZ 85339-6910
Phone (917) 957-1457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140125000172 MD Practitioner - Emergency Medicine 3173797941 Reassigns benefits to 1 organization
I20140528000940 DC Practitioner - Emergency Medicine 3173797941 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D76825MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Nov 1, 2013 Accepting new patients
Mep Health, LLC Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC CurrentSince Feb 1, 2022 Accepting new patients
Doctors Community Practices LLC Past Accepting new patients
Mountain Vista Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Emergency Physicians Professional Association LTD Emergency Medicine Past Accepting new patients

Locations

20010 Century Blvd
Ste 200
Germantown, MD 20874

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522886400000",
    "number": "1023304409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 W APOLLO RD",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396910",
            "telephone_number": "917-957-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NORTHVIEW DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207162616",
            "telephone_number": "301-383-2559",
            "fax_number": "301-383-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEMANE-MERRIWETHER",
        "first_name": "SELAMAWIT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2018-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D76825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.