Individual provider Active NPI

Bethlehem Gelaw, MD

  • Diagnostic Radiology Physician
  • Lenexa, KS
National Provider Identifier
1164622353
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2012035075 Issued in MO
Practice address
8550 Marshall Dr
Suite 220
Lenexa, KS 66214-1505
Phone
(816) 942-8200
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0436055 KS
Diagnostic Radiology Physician 2085R0202X 2012035075 MO Primary

Addresses

Primary practice location

8550 Marshall Dr
Suite 220
Lenexa, KS 66214-1505

Mailing address

373 W 101St Ter
Kansas City, MO 64114-4408
Phone (816) 942-8200

Other practice location 1

2301 Holmes St
Kansas City, MO 64108-2640
Phone (816) 404-0690

Other identifiers 1

IdentifierTypeStateIssuer
P01136295OtherMORR MEDICARE

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
I20210727001110 MD Practitioner - Diagnostic Radiology 8224101902 Reassigns benefits to 2 organizations
I20210727001381 DC Practitioner - Diagnostic Radiology 8224101902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Duke University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Radiology Associates IncGroup PAC ID 5991692444, 64 clinicians

Practice addresses (Care Compare)

14999 Health Ctr Dr
Suite 102
Bowie, MD 20716-1075
Phone (888) 601-0943

67 Thomas Johnson Dr
Suite 4
Frederick, MD 21702-4862
Phone (888) 601-0943

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Radiology Associates PA Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Aug 1, 2021 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients
Main Line Health Imaging LP Diagnostic Radiology Past Accepting new patients
Bryn Mawr Imaging Diagnostic Radiology Past Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients
Radiology Associates of the Main Line P C Diagnostic Radiology Past Accepting new patients

Locations

29493 Network Pl
Chicago, IL 60673

27424 Network Pl
Chicago, IL 60673

14999 Health Center Dr
Ste 102
Bowie, MD 20716
Phone (301) 438-5150

9131 Piscataway Rd
Ste 110370
Clinton, MD 20735

9131 Piscataway Rd
Ste 110
Clinton, MD 20735

67 Thomas Johnson Dr
Ste 4
Frederick, MD 21702
Phone (301) 607-0444

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884

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.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1164622353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 W 101ST TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144408",
            "telephone_number": "816-942-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 MARSHALL DR",
            "address_2": "SUITE 220",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662141505",
            "telephone_number": "816-942-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Holmes St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641082640",
            "country_code": "US",
            "telephone_number": "816-404-0690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELAW",
        "first_name": "BETHLEHEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "0436055",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2012035075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01136295",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.