Active NPI
Tewodros D Addisse, MD
- Hospitalist Physician
- Topeka, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 04-28657
- Practice address
- 1500 SW 10TH Ave
Topeka, KS 66604-1301 - Phone
- (785) 354-5242
- NPI assigned
- Jan 26, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 04-28657 | KS | Primary |
| Internal Medicine Physician | 207R00000X | 04-28657 | KS |
Addresses
Primary practice location
1500 SW 10TH Ave
Topeka, KS 66604-1301
Mailing address
1500 SW 10TH Ave
Topeka, KS 66604-1301
Phone (785) 354-5242
Other practice location 1
1102 Saint Marys Rd
Junction City, KS 66441-4139
Phone (785) 238-0325
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | taddisse2403@stormontvaildirect.org | Direct | COTTON O'NEIL CLINIC REVOCABLE TRUST |
| Direct Messaging Address | taddisse2403@stormontvaildirect.org | Direct | STORMONT-VAIL HEALTHCARE INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- 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 |
|---|---|---|---|---|
| I20040608000991 | KS | Practitioner - Hospitalist | 2769465111 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cotton-O'Neil Clinic Revocable Trust
Practice addresses (Care Compare)
1325 Research Park Dr
Manhattan, KS 66502-5000
Phone (785) 270-8723
1500 SW 10H Ave
Topeka, KS 66604-1301
Phone (785) 354-6000
1504 SW 8TH Ave
FL 1
Topeka, KS 66606-1632
Phone (785) 354-5623
2909 SE Walnut Dr
Topeka, KS 66605-2189
Phone (785) 267-0744
4505 NW Fielding Rd
Topeka, KS 66618-2651
Phone (785) 354-9591
901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591
Hospital & facility affiliations
- Stormont Vail Hospital
- University of Kansas Health System - St Francis Campus
- University of Kansas Hospital
- Newman Regional Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cotton-O'Neil Clinic Revocable Trust | Internal Medicine | Current | Accepting new patients |
| Cotton-O'Neil Clinic Revocable Trust | Current | Accepting new patients | |
| Stormont Vail Health Flint Hills LLC | Current | Accepting new patients | |
| Stormont Vail Health Flint Hills LLC | Internal Medicine | Current | Accepting new patients |
| Stormont-Vail Healthcare Inc | Past | Accepting new patients |
Locations
1110 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-4131
1102 Saint Marys Rd
Junction City, KS 66441
Phone (785) 238-0325
1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242
1700 SW 7th St
Topeka, KS 66606
Phone (785) 295-5310
901 SW Garfield Ave
Topeka, KS 66606
Interoperability endpoints
- taddisse2403@stormontvaildirect.org
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.
-
- Internal Medicine Physician
- Topeka, KS
- NPI 1811944457
Internal Medicine, KS
-
- Emergency Medicine Physician
- Junction City, KS
- NPI 1447968128
Internal Medicine, KS
-
- Durable Medical Equipment & Medical Supplies
- Topeka, KS
- NPI 1700076015
-
- Clinical Medical Laboratory
- Junction City, KS
- NPI 1174308068
-
- General Acute Care Hospital
- Topeka, KS
- NPI 1194782409
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1629369681
Hospital
-
- General Acute Care Hospital
- Kansas City, KS
- NPI 1649259656
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1366412751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 SW 10TH AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666041301",
"telephone_number": "785-354-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SW 10TH AVE",
"city": "TOPEKA",
"state": "KS",
"postal_code": "666041301",
"telephone_number": "785-354-5242"
}
],
"practiceLocations": [
{
"address_1": "1102 Saint Marys Rd",
"address_purpose": "LOCATION",
"city": "Junction City",
"state": "KS",
"postal_code": "664414139",
"country_code": "US",
"telephone_number": "785-238-0325",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ADDISSE",
"first_name": "TEWODROS",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KS",
"license": "04-28657",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-28657",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "taddisse2403@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure messaging",
"affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1500 SW 10th Ave",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666041301",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "taddisse2403@stormontvaildirect.org",
"affiliation": "Y",
"endpointDescription": "SVH Secure messaging",
"affiliationName": "STORMONT-VAIL HEALTHCARE INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1500 SW 10th Ave",
"city": "Topeka",
"state": "KS",
"country_code": "US",
"postal_code": "666041301",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.