Active NPI
Tewoldebirhan Biru Keresemo, NP
- Nurse Practitioner
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0996238-NP
- Practice address
- 791 Chambers Rd
Aurora, CO 80011-7112 - Phone
- (303) 617-2300
- NPI assigned
- Jul 30, 2021
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 0996238-NP | CO | |
| Nurse Practitioner | 363L00000X | 0996238-NP | CO | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Adult Health Clinical Nurse Specialist | 364SA2200X | 0996238-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | RXN.0110013-NP | CO |
Addresses
Primary practice location
791 Chambers Rd
Aurora, CO 80011-7112
Mailing address
4886 S Riviera Way
Aurora, CO 80015-4708
Phone (720) 951-6865
Other practice location 1
113 Seaboard Ln Ste 200B
Franklin, TN 37067-8282
Phone (615) 905-6944
Other practice location 2
6656 Summer Grace St
Colorado Springs, CO 80923-4428
Phone (520) 612-0466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Colorado Springs, CO 80923
Phone (520) 612-0466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RXN.0110013-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0996238-NP | CO | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remind Health LLC | Psychiatry | Current | Accepting new patients |
| Harmony Health Services PLLC | Current | Accepting new patients | |
| Harmony Business Group LLC | Current | Accepting new patients | |
| Colorado in-Home Counseling | Current | Accepting new patients |
Locations
11275 E Mississippi Ave
Ste 1N2
Aurora, CO 80012
Phone (303) 997-7186
501 S Cherry St
Ste 820
Denver, CO 80246
Phone (303) 884-9682
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.
-
- Community/Behavioral Health Agency
- Denver, CO
- NPI 1093220006
-
- In Home Supportive Care Agency
- Aurora, CO
- NPI 1083375430
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Aurora, CO
- NPI 1477493864
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Aurora, CO
- NPI 1609747112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1558034991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4886 S RIVIERA WAY",
"city": "AURORA",
"state": "CO",
"postal_code": "800154708",
"telephone_number": "720-951-6865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "791 CHAMBERS RD",
"city": "AURORA",
"state": "CO",
"postal_code": "800117112",
"telephone_number": "303-617-2300"
}
],
"practiceLocations": [
{
"address_1": "113 Seaboard Ln Ste 200B",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "TN",
"postal_code": "370678282",
"country_code": "US",
"telephone_number": "615-905-6944",
"fax_number": "800-266-5158",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6656 Summer Grace St",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809234428",
"country_code": "US",
"telephone_number": "520-612-0466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KERESEMO",
"first_name": "TEWOLDEBIRHAN",
"middle_name": "BIRU",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-30",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CO",
"license": "0996238-NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "0996238-NP",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "CO",
"license": "0996238-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "RXN.0110013-NP",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.