Active NPI
Natae Lemessa, MD
- Diagnostic Radiology Physician
- Philadelphia, PA
National Provider Identifier
1295576353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD495061
- Practice address
- 3401 Civic Center Blvd
Division of Pediatric Radiology
Philadelphia, PA 19104 - Phone
- (215) 590-7000
- NPI assigned
- Jun 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD495061 | PA | Primary |
Addresses
Primary practice location
3401 Civic Center Blvd
Division of Pediatric Radiology
Philadelphia, PA 19104
Mailing address
3401 Civic Center Blvd
Division of Pediatric Radiology
Philadelphia, PA 19104
Phone (215) 590-7000
Other practice location 1
777 Township Line Road
Suite 150
Yardley, PA 19067-5567
Phone (215) 860-3360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260608000365 | PA | Practitioner - Diagnostic Radiology | 7810468238 |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
777 Township Line Rd
Suite 150
Yardley, PA 19067-5552
PO Box
Philadelphia, PA 19182
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LT001000 | PA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295576353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"address_2": "DIVISION OF PEDIATRIC RADIOLOGY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 CIVIC CENTER BLVD",
"address_2": "DIVISION OF PEDIATRIC RADIOLOGY",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-590-7000"
}
],
"practiceLocations": [
{
"address_1": "777 Township Line Road",
"address_2": "Suite 150",
"address_purpose": "LOCATION",
"city": "Yardley",
"state": "PA",
"postal_code": "190675567",
"country_code": "US",
"telephone_number": "215-860-3360",
"fax_number": "215-860-3362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEMESSA",
"first_name": "NATAE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-03",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD495061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.