Individual provider Active NPI

Anteneh Tesema, M.D.

  • Hospitalist Physician
  • Tacoma, WA
National Provider Identifier
1760914089
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
61260762 Issued in WA
Practice address
1901 S Union Ave
Tacoma, WA 98405-1702
Phone
(253) 459-6200
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 61260762 WA Primary
Internal Medicine Physician 207R00000X 60563 TN
Internal Medicine Physician 207R00000X 61260762 WA

Addresses

Primary practice location

1901 S Union Ave
Tacoma, WA 98405-1702

Mailing address

27835 242ND PL SE
Maple Valley, WA 98038-3355
Phone (408) 605-3440

Other practice location 1

939 Caroline St
Port Angeles, WA 98362-3909
Phone (360) 417-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WA2 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
I20200715003277 TN Practitioner - Internal Medicine 0840508271 Reassigns benefits to 1 organization
I20220817002580 WA Practitioner - HospitalistPractitioner - Internal Medicine 0840508271 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Sound Inpatient Physicians PLLCGroup PAC ID 5991618738, 424 clinicians
Olympic Medical PhysiciansGroup PAC ID 9537172358, 106 clinicians

Practice addresses (Care Compare)

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 244-9970

17700 SE 272ND St
Covington, WA 98042-4951
Phone (253) 372-6500

1901 S Union Ave
Tacoma, WA 98405-1702
Phone (253) 459-6633

202 N Division St
Auburn, WA 98001-4939
Phone (253) 833-7711

407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000

939 Caroline St
Port Angeles, WA 98362-3909
Phone (360) 417-7000

Hospital & facility affiliations

  • Multicare Covington Medical Center Hospital, Covington, WA, CCN 500154
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Multicare Auburn Medical Center Hospital, Auburn, WA, CCN 500015
  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079

Merit-based Incentive Payment System (MIPS)

Final score
81.56 of 100Reported as group
Quality
80.73
Promoting interoperability
80
Improvement activities
40
Cost
74.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60563TNMDLicensed Practical Nurse
61260762WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Mason Medical Center CurrentSince Mar 27, 2025 Accepting new patients
App of Tennessee HM, PLLC Hospitalist CurrentSince Jul 6, 2020 Accepting new patients
Olympic Medical Physicians Internal Medicine CurrentSince Apr 10, 2023 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Virginia Mason Medical Center Internal Medicine CurrentSince Mar 27, 2025 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Clallam County Public Hospital District 2 Past Accepting new patients
Grays Harbor County Public Hospital District No 1 Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

1 Medical Center Blvd
Cookeville, TN 38501
Phone (931) 783-2334

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

433 E 8th St
Port Angeles, WA 98362
Phone (360) 452-3373

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

4575 Sand Point Way NE
Ste 108
Seattle, WA 98105
Phone (206) 525-8000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

Organizations & group practices 11

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1760914089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27835 242ND PL SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383355",
            "telephone_number": "408-605-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-459-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 Caroline St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983623909",
            "country_code": "US",
            "telephone_number": "360-417-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESEMA",
        "first_name": "ANTENEH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "61260762",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "60563",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "61260762",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.