NPIMap

Individual provider Active NPI

Alemieneh Woldeyesus, M.D.

  • Hospitalist Physician
  • Cheverly, MD
National Provider Identifier
1760845622
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
D87244 Issued in MD
Practice address
3001 Hospital Dr
5TH Floor
Cheverly, MD 20785-1189
Phone
(301) 618-3776
NPI assigned
Mar 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0101266246 VA
Hospitalist Physician 208M00000X 70674 WI
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X D87244 MD Primary

Addresses

Primary practice location

3001 Hospital Dr
5TH Floor
Cheverly, MD 20785-1189

Mailing address

3001 Hospital Dr
5TH Floor
Cheverly, MD 20785-1189
Phone (301) 618-3776

Other practice location 1

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151

Other identifiers 1

IdentifierTypeStateIssuer
390868982MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address awoldeyesus236878@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WI, DC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190617000092 MD Practitioner - Hospitalist 2163755638 Reassigns benefits to 2 organizations
I20190621001516 WI Practitioner - HospitalistPractitioner - Internal Medicine 2163755638 Reassigns benefits to 4 organizations
I20191111002820 DC Practitioner - Internal MedicinePractitioner - Hospitalist 2163755638 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Aurora LLCGroup PAC ID 0244130557, 197 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8000

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70674WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC CurrentSince Jan 24, 2020 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Hospitalist CurrentSince Jan 24, 2020 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Baycare Aurora, LLC Hospitalist CurrentSince Sep 5, 2019 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 1, 2019 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 20, 2024 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

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

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

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

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

3001 Hospital Dr
Fl 5
Hyattsville, MD 20785
Phone (301) 618-2273

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: awoldeyesus236878@direct.myadvocateaurora.org

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1760845622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "address_2": "5TH FLOOR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DR",
            "address_2": "5TH FLOOR",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "207851189",
            "telephone_number": "301-618-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 N Mecklenburg Ave",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239704080",
            "country_code": "US",
            "telephone_number": "434-447-3151",
            "fax_number": "434-584-5579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLDEYESUS",
        "first_name": "ALEMIENEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101266246",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "70674",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D87244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390868982",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "awoldeyesus236878@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3001 Hospital Dr",
            "address_2": "5th floor",
            "city": "Cheverly",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207851189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3001 Hospital Dr",
            "address_2": "5th floor",
            "city": "Cheverly",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207851189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheverly, MD

Sources for this page

Verify at the official NPI Registry.