NPIMap

Individual provider Active NPI

Selamawit Kebede Tesema, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1043876964
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
69222 Issued in AZ
Practice address
7490 S Camino de Oeste
Tucson, AZ 85746-9308
Phone
(520) 879-6225
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 69222 AZ Primary
Pediatrics Physician 208000000X 69222 AZ

Addresses

Primary practice location

7490 S Camino de Oeste
Tucson, AZ 85746-9308

Mailing address

7490 S Camino de Oeste
Tucson, AZ 85746-9308
Phone (520) 879-6225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015002709 SC Practitioner - Internal Medicine 9830423599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians
Pelham Medical CenterGroup PAC ID 2365519097, 132 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6654

250 Westmoreland Rd
Greer, SC 29651-9013
Phone (864) 560-6619

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
69222AZMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pelham Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Spartanburg Medical Center Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Spartanburg Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Pelham Medical Center Current Accepting new patients
Pelham Medical Center Internal Medicine CurrentSince Sep 1, 2025 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients
Spartanburg Medical Center Past Accepting new patients

Locations

250 Westmoreland Rd
Greer, SC 29651
Phone (864) 530-2108

101 E Wood St
Ste 401
Spartanburg, SC 29303
Phone (864) 560-6654

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1043876964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 S CAMINO DE OESTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857469308",
            "telephone_number": "520-879-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7490 S CAMINO DE OESTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857469308",
            "telephone_number": "520-879-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESEMA",
        "first_name": "SELAMAWIT",
        "middle_name": "KEBEDE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2023-09-20",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "69222",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "69222",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.