Individual provider Active NPI

Semhar Z Tewelde, MD

  • Emergency Medicine Physician
  • Baltimore, MD
National Provider Identifier
1205061322
Registry record updated Jun 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D73858 Issued in MD
Practice address
110 S Paca St
Emergency Medicine, 6TH Floor
Baltimore, MD 21201-1642
Phone
(410) 328-8025
Fax
(410) 328-8028
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2021

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 D73858 MD Primary

Addresses

Primary practice location

110 S Paca St
Emergency Medicine, 6TH Floor
Baltimore, MD 21201-1642

Mailing address

110 S Paca St
Emergency Medicine, 6TH Floor Suite 200
Baltimore, MD 21201-1642
Phone (410) 328-8025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120706000251 MD Practitioner - Emergency Medicine 6709041247 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Midtown Health Inc CurrentSince Oct 2, 2017 Accepting new patients
University of Maryland Emergency Medicine Associates, PA Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
St Paul Place Specialists Inc Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients

Locations

105 Penn St
Baltimore, MD 21201
Phone (410) 328-2387

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

821 N Eutaw St
Baltimore, MD 21201
Phone (410) 225-9185

Interoperability endpoints

  • Direct secure messaging: stewelde6803@direct.umm.edu

Organizations & group practices 4

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1205061322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "address_2": "EMERGENCY MEDICINE, 6TH FLOOR SUITE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-8025",
            "fax_number": "410-328-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PACA ST",
            "address_2": "EMERGENCY MEDICINE, 6TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011642",
            "telephone_number": "410-328-8025",
            "fax_number": "410-328-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEWELDE",
        "first_name": "SEMHAR",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D73858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.