Individual provider Active NPI

Addisalem Taye Makuria, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Washington, DC
National Provider Identifier
1093029886
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
2013-00065 Issued in NC
Practice address
3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone
(202) 444-7599
Fax
(202) 444-3713
NPI assigned
Aug 4, 2010
Last updated
Nov 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X MD039172 DC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA12924300 NJ
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 2013-00065 NC Primary
Pediatrics Physician 208000000X MD039172 DC

Addresses

Primary practice location

3800 Reservoir Rd NW
Washington, DC 20007-2113

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

1 Cooper Plz
Camden, NJ 08103-1461
Phone (856) 342-2506

Other practice location 2

600 Moye Blvd
ECU Physicians
Greenville, NC 27834-4300
Phone (252) 744-4655

Other identifiers 2

IdentifierTypeStateIssuer
5922763MedicaidNC
1764MOtherNCBCBS NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DC, NJ, MD4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20130605000033 NC Practitioner - Pathology 9638317506
I20160209000304 DC Practitioner - Pediatric MedicinePractitioner - Pathology 9638317506 Reassigns benefits to 3 organizations
I20251204003352 NJ Practitioner - Pathology 9638317506 Reassigns benefits to 1 organization
I20260617004486 MD Practitioner - Pathology 9638317506

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Pathology PCGroup PAC ID 3375569577, 33 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2506

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA12924300NJMDAnatomic Pathology & Clinical Pathology Physician
2013-00065NCMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC General Practice CurrentSince May 1, 2025 Accepting new patients
Medstar Medical Group II LLC General Practice CurrentSince Apr 27, 2020 Accepting new patients
Children's Hospital CurrentSince Jan 26, 2016 Accepting new patients
Medstar Medical Group II LLC General Practice CurrentSince Apr 27, 2020 Accepting new patients
Ecu Physicians Diagnostic Pathology Services Anatomic Pathology & Clinical Pathology CurrentSince Mar 24, 2020 Accepting new patients
Cooper Pathology, PC Clinical Pathology/Laboratory Medicine CurrentSince Nov 20, 2025 Accepting new patients
Children's Hospital Pediatrics CurrentSince Jan 26, 2016 Accepting new patients
MGMC, LLC General Practice Current Accepting new patients
Children's Hospital Current Accepting new patients
East Carolina University Current Accepting new patients
Cooper Physician Offices, PA Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 884-4177

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3800 Reservoir Rd NW
Fl 1
Washington, DC 20007
Phone (202) 444-7078

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1103 Kings Hwy N
Ste 103
Cherry Hill, NJ 08034
Phone (856) 348-6085

Interoperability endpoints

  • Direct secure messaging: atayemakuria46946@direct.ecuhealth.com

Organizations & group practices 12

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

Hospital & facility affiliations 3

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": "1280880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1093029886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-444-7599",
            "fax_number": "202-444-3713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cooper Plz",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031461",
            "country_code": "US",
            "telephone_number": "856-342-2506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Moye Blvd",
            "address_2": "ECU Physicians",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278344300",
            "country_code": "US",
            "telephone_number": "252-744-4655",
            "fax_number": "252-744-3650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYE MAKURIA",
        "first_name": "ADDISALEM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-04",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "DC",
            "license": "MD039172",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA12924300",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NC",
            "license": "2013-00065",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD039172",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5922763",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "1764M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.