Individual provider Active NPI

Zelalem Makonnen, M.D.

  • Hospitalist Physician
  • Baltimore, MD
National Provider Identifier
1700826120
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
D0058009 Issued in MD
Practice address
2200 Kernan Dr
Baltimore, MD 21207-6665
Phone
(301) 652-2707
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X D0058009 MD Primary

Addresses

Primary practice location

2200 Kernan Dr
Baltimore, MD 21207-6665

Mailing address

4539 Maxfield Dr
Annandale, VA 22003-3529
Phone (703) 941-8728

Other identifiers 1

IdentifierTypeStateIssuer
404309000MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050912000696 MD Practitioner - HospitalistPractitioner - Internal Medicine 6406889476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdics at Umroi, LLCGroup PAC ID 9638478019, 22 clinicians

Practice addresses (Care Compare)

2200 Kernan Dr
Gwynn Oak, MD 21207-6665
Phone (443) 949-0814

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.02 of 100Reported as group
Quality
85.97
Improvement activities
40
Cost
93.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0058009MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mdics at Umroi, LLC Hospitalist CurrentSince Apr 1, 2016 Accepting new patients
The Good Samaritan Hospital of Maryland, Inc. Past Accepting new patients
James Lawrence Kernan Hospital, Inc. Past Accepting new patients
Medstar Good Samaritan Physicians LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2200 Kernan Dr
Woodlawn, MD 21207
Phone (410) 448-2500

Interoperability endpoints

  • Direct secure messaging: zmakonnen1434@direct.umm.edu

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.

Hospital & facility affiliations 5

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1700826120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 MAXFIELD DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033529",
            "telephone_number": "703-941-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 KERNAN DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076665",
            "telephone_number": "301-652-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKONNEN",
        "first_name": "ZELALEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D0058009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404309000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.