Active NPI
Addisalem Taye Makuria, M.D.
- Clinical Pathology/Laboratory Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician
- License
- 2013-00065
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5922763 | Medicaid | NC | |
| 1764M | Other | NC | BCBS NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, DC, NJ, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA12924300 | NJ | MD | Anatomic Pathology & Clinical Pathology Physician |
| 2013-00065 | NC | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | General Practice | Current | Accepting new patients |
| Medstar Medical Group II LLC | General Practice | Current | Accepting new patients |
| Children's Hospital | Current | Accepting new patients | |
| Medstar Medical Group II LLC | General Practice | Current | Accepting new patients |
| Ecu Physicians Diagnostic Pathology Services | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Cooper Pathology, PC | Clinical Pathology/Laboratory Medicine | Current | Accepting new patients |
| Children's Hospital | Pediatrics | Current | 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
- 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.
-
- Clinical Pathology/Laboratory Medicine Physician
- Camden, NJ
- NPI 1720023583
-
- Children's Hospital
- Washington, DC
- NPI 1912939703
-
- General Practice Physician
- Washington, DC
- NPI 1891797148
-
dba Children's National Medical Associates
- Pediatrics Physician
- Washington, DC
- NPI 1780800128
-
dba Children's National Specialty Pharmacy
- Community/Retail Pharmacy
- Silver Spring, MD
- NPI 1326878349
-
- Anatomic Pathology & Clinical Pathology Physician
- Greenville, NC
- NPI 1558695288
-
- General Practice Physician
- Brandywine, MD
- NPI 1285064550
-
- General Practice Physician
- White Plains, MD
- NPI 1407559081
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Internal Medicine Physician
- Camden, NJ
- NPI 1154369510
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stratford, NJ
- NPI 1386746592
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.