Individual provider Active NPI

Eden Tsehaye Amdemichael, M.D.

  • Surgery Physician
  • Frederick, MD
National Provider Identifier
1659530509
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0089186 Issued in MD
Practice address
1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone
(240) 215-6310
Fax
(240) 566-7754
NPI assigned
Jun 5, 2008
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X D0089186 MD Primary

Addresses

Primary practice location

1562 Opossumtown Pike
Frederick, MD 21702-4920

Mailing address

1 Frederick Health Way
Frederick, MD 21701-9435
Phone (240) 215-6310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MD2 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
I20180222002734 TX Practitioner - General Surgery 3870854417 Reassigns benefits to 1 organization
I20200615002366 MD Practitioner - General SurgeryPractitioner - General Practice 3870854417 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rush Medical College of Rush University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (240) 215-6310

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0089186MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC CurrentSince Dec 1, 2025 Accepting new patients
St Agnes Healthcare Inc Surgery CurrentSince Jul 1, 2020 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Dec 1, 2025 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Mar 1, 2018 Accepting new patients
Texas Tech University Health Sciences Center El Paso Surgery CurrentSince Mar 1, 2018 Accepting new patients
Medical Practices of Antietam, LLC CurrentSince Feb 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Frederick Health Medical Group LLC Surgery Current Accepting new patients
Medical Practices of Antietam LLC CurrentSince Feb 1, 2024 Accepting new patients
St Agnes Healthcare Inc CurrentSince Jul 1, 2020 Accepting new patients
Texas Tech University Health Sciences Center Odessa Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3407 Wilkens Ave
Ste 410
Baltimore, MD 21229
Phone (443) 574-8500

3449 Wilkens Ave
Ste 101
Baltimore, MD 21229
Phone 41029685852

3449 Wilkens Ave
Ste 102
Baltimore, MD 21229
Phone (667) 234-8675

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

1 Frederick Health Way
Frederick, MD 21701
Phone (240) 439-8812

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

1562 Opossumtown Pike
Ste 302
Frederick, MD 21702

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

11110 Medical Campus Rd
Hagerstown, MD 21742
Phone (240) 313-9800

11110 Medical Campus Rd
Ste 143
Hagerstown, MD 21742
Phone (301) 714-4175

11110 Medical Campus Rd
Ste 147
Hagerstown, MD 21742
Phone (240) 313-9600

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

504 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 703-5452

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1659530509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FREDERICK HEALTH WAY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217019435",
            "telephone_number": "240-215-6310",
            "fax_number": "240-566-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 OPOSSUMTOWN PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024920",
            "telephone_number": "240-215-6310",
            "fax_number": "240-566-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMDEMICHAEL",
        "first_name": "EDEN",
        "middle_name": "TSEHAYE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0089186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.