Individual provider Active NPI

Addisu M. Temesgen, MD

  • Internal Medicine Physician
  • Ellicott City, MD
National Provider Identifier
1386971927
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D69354 Issued in MD
Practice address
10259 Cabery Rd
Ellicott City, MD 21042-1605
Phone
(410) 870-9380
NPI assigned
Nov 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D0069354 MD
Internal Medicine Physician 207R00000X D69354 MD Primary

Addresses

Primary practice location

10259 Cabery Rd
Ellicott City, MD 21042-1605

Mailing address

10259 Cabery Rd
Ellicott City, MD 21042-1605
Phone (410) 870-9380

Other identifiers 2

IdentifierTypeStateIssuer
420190600MedicaidMD
051397200MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101216000820 MD Practitioner - Internal Medicine 4183812266 Reassigns benefits to 4 organizations
I20120625000642 DC Practitioner - Internal Medicine 4183812266 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Graceway Health Care LLCGroup PAC ID 9537544648, 15 clinicians

Practice addresses (Care Compare)

111 W Rd
Towson, MD 21204-2315
Phone (667) 300-8222

9106 Pine View LN
Clinton, MD 20735-3229
Phone (301) 856-2930

Hospital & facility affiliations

  • Stella Maris Inc Hospice, Timonium, MD, CCN 211500
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015
  • Stella Maris, Inc. Nursing home, Timonium, MD, CCN 215117
  • Future Care Pineview Nursing home, Clinton, MD, CCN 215328
  • Franklin Woods Center Nursing home, Baltimore, MD, CCN 215261
  • Future Care Cold Spring Nursing home, Baltimore, MD, CCN 215253
  • Hidden Waters Rehabilitation and Wellness Center Nursing home, Clinton, MD, CCN 215231

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Graceway Health Care LLC Internal Medicine CurrentSince Sep 12, 2022 Accepting new patients
Mdics at Civista LLC CurrentSince Aug 24, 2015 Accepting new patients
Graceway Health Care LLC Internal Medicine Current Accepting new patients
Mdics Rehabilitative Services LLC Internal Medicine CurrentSince Aug 24, 2015 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Apr 23, 2012 Accepting new patients
Graceway Health Care LLC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Graceway Health Care LLC Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
Alignmed Partners, PC Geriatric Medicine CurrentSince Jan 1, 2018 Accepting new patients
Mdics Rehabilitative Services - Ltcaco LLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Apr 23, 2012 Accepting new patients
Post-Acute Care Center Opco LLC Past Accepting new patients
Stella Maris Inc Past Accepting new patients
Franklin Square-Meridian Healthcare Nursing Home LTD Partnership Past Accepting new patients
Meadow Park Operator LLC Past Accepting new patients
Harford Road Health Care, LLC Past Accepting new patients
Hospitalist Medicine Physicians of Maryland P.C. Internal Medicine Past Accepting new patients
Orchard Hill Operator LLC Past Accepting new patients
Dual Leasing Co., LLC Past Accepting new patients
6000 Bellona Opco LLC Past Accepting new patients
Pineview Extended Care Centre, Inc. Past Accepting new patients
Clinton Nursing, LLC Past Accepting new patients

Locations

601 S Charles St
Baltimore, MD 21230
Phone (410) 547-8500

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

3939 Penhurst Ave
Baltimore, MD 21215
Phone (410) 664-9535

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

9211 Stuart Ln
Clinton, MD 20735
Phone (301) 868-3600

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

6934 Aviation Blvd
Ste B
Glen Burnie, MD 21061
Phone (443) 534-0575

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

121 Morris Dr
La Plata, MD 20646
Phone (410) 999-1133

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

2101 Fairland Rd
Silver Spring, MD 20904
Phone (301) 384-6161

111 West Rd
Towson, MD 21204
Phone (410) 828-6500

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northwest Healthcare CenterBaltimore, MD, CCN 215346 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2016
Jan 1, 2016
Hagerstown Healthcare CenterHagerstown, MD, CCN 215336 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2025
Autumn Lake Healthcare at Arlington WestBaltimore, MD, CCN 215349 Skilled nursing facility Adp of the SNF Apr 1, 2021

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 7

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": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1386971927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10259 CABERY RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421605",
            "telephone_number": "410-870-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10259 CABERY RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421605",
            "telephone_number": "410-870-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMESGEN",
        "first_name": "ADDISU",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-03",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D0069354",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D69354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420190600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051397200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.