Yared T Tadesse MD LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

W12076618 Issued in MD

Legal business name

YARED T TADESSE MD LLC

Practice address

11120 New Hampshire Ave
Suite 407
Silver Spring, MD 20904-2633

Phone

(301) 681-3995

Fax

(301) 681-3803

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Yared T Tadesse, M.DNPI 1407812662

Title

President, Owner & Provider

Phone

(301) 681-3995

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yared T Tadesse, M.D

  • Internal Medicine Physician
  • Silver Spring, MD
  • NPI 1407812662

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1568630846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 407",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "301-681-3995",
            "fax_number": "301-681-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 407",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042633",
            "telephone_number": "301-681-3995",
            "fax_number": "301-681-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YARED T TADESSE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "TADESSE",
        "authorized_official_first_name": "YARED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT, OWNER & PROVIDER",
        "authorized_official_telephone_number": "301-681-3995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "W12076618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean M Yanga, HHA
• Ojong Yankam
• Sarah A Yankson, PA-C
• Edward Stanley Yanowitz, MD
• Gregory Yarbrough II, LCSW-C
• Edom Yared, M.D.
• Yasmin B. Majid, D.D.S., P.C.
• Dawit Tatek Yaszi
• Diamond Shamay Marshell Yates
• Martial Yatheu

• Health Service Clinic/Center in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Health Service Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.