Active NPI
Michael Betemariam
- General Practice Physician
- Tacoma, WA
National Provider Identifier
1336050277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 70182803
- Practice address
- 917 Pacific Ave Ste 600
Tacoma, WA 98402-4437 - Phone
- (253) 844-4327
- NPI assigned
- Sep 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 70182803 | WA | Primary |
Addresses
Primary practice location
917 Pacific Ave Ste 600
Tacoma, WA 98402-4437
Mailing address
1128 Fowler Dr
Greenville, NC 27834-3335
Phone (704) 605-2786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1336050277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1128 FOWLER DR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343335",
"telephone_number": "704-605-2786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 PACIFIC AVE STE 600",
"city": "TACOMA",
"state": "WA",
"postal_code": "984024437",
"telephone_number": "253-844-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETEMARIAM",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WA",
"license": "70182803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.