NPIMap

Individual provider Active NPI

Teklu Bekele Legesse, MD

  • Anatomic Pathology Physician
  • Baltimore, MD
National Provider Identifier
1326381898
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
D86730 Issued in MD
Practice address
22 S Greene St
Baltimore, MD 21201-1544
Phone
(800) 492-5538
NPI assigned
Apr 2, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X D86730 MD Primary

Addresses

Primary practice location

22 S Greene St
Baltimore, MD 21201-1544

Mailing address

250 W Pratt St Ste 900
Baltimore, MD 21201-6808
Phone (667) 214-2507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190716002362 MD Practitioner - Pathology 4587916705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

22 S Green St
Baltimore, MD 21201-1544
Phone (410) 328-5555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Univ of MD Pathology Associates P a Current Accepting new patients
Kent Queen Anne Pathology CurrentSince Oct 1, 2024 Accepting new patients
Chester River Hospital Center Current Accepting new patients
Univ of MD Pathology Associates P a CurrentSince Jul 8, 2019 Accepting new patients
Chester River Health Center CurrentSince Oct 1, 2024 Accepting new patients

Locations

419 W Redwood St
Ste 200
Baltimore, MD 21201
Phone (410) 328-3408

250 W Pratt St
Ste 900
Baltimore, MD 21201
Phone (410) 328-6267

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

219 S Washington St
Easton, MD 21601

Interoperability endpoints

  • Direct secure messaging: tlegesse86511@direct.umm.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1326381898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W PRATT ST STE 900",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212016808",
            "telephone_number": "667-214-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "800-492-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGESSE",
        "first_name": "TEKLU",
        "middle_name": "BEKELE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MD",
            "license": "D86730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.