Active NPI
Fitsum Tilahun Hailemariam, MD
- Hospitalist Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25MA12298000
- Practice address
- 1 Cooper PLZ
Camden, NJ 08103-1461 - Phone
- (856) 342-3150
- NPI assigned
- May 15, 2015
- Last updated
- Sep 4, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD470880 | PA | |
| Hospitalist Physician | 208M00000X | 25MA12298000 | NJ | Primary |
Addresses
Primary practice location
1 Cooper PLZ
Camden, NJ 08103-1461
Mailing address
1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935
Other practice location 1
833 Chestnut St Ste 700
Philadelphia, PA 19107-4410
Phone (215) 955-6550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-3150
1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669
1101 Market St
FL 19
Philadelphia, PA 19107-2926
111 S 11TH St
Philadelphia, PA 19107-4824
335 Delsea Dr N
Glassboro, NJ 08028-1403
Phone 85645147002755
834 Walnut St
Suite 110
Philadelphia, PA 19107-5109
Phone (215) 503-4779
925 Chestnut St
Philadelphia, PA 19107-4204
925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Physician Offices, PA | Single Specialty | Current | Accepting new patients |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Jefferson University Physicians | Single Specialty | Current | Accepting new patients |
| Community Health Care, Inc. | Single Specialty | Current | Accepting new patients |
| Inspira Medical Centers, Inc. | Past | Accepting new patients | |
| The Cooper Health System | Single Specialty | Past | Accepting new patients |
Locations
14 N Pearl St
Bridgeton, NJ 08302
Phone (856) 340-9830
30 N Pearl St
Bridgeton, NJ 08302
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935
1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616
335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
833 Chestnut St
Ste 700
Philadelphia, PA 19107
Phone (215) 503-3000
925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760
Interoperability endpoints
- fhailemariam188232@direct.cooperhealth.edu
Organizations & group practices 6
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.
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
Single Specialty
-
- General Practice Physician
- Philadelphia, PA
- NPI 1326093675
Single Specialty
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
dba Inspira Medical Center Vineland
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inspira Medical Center Vineland
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
dba Inspira Medical Center Elmer
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
dba Inspira Medical Center Mullica Hill
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
dba SJH Sports Rehab Care - Tomlin Station
- Physical Therapy Clinic/Center
- Mullica Hill, NJ
- NPI 1609158732
Hospital
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1780062257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST STE 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "848-288-6935",
"fax_number": "732-790-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COOPER PLZ",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-342-3150"
}
],
"practiceLocations": [
{
"address_1": "833 Chestnut St Ste 700",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191074410",
"country_code": "US",
"telephone_number": "215-955-6550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAILEMARIAM",
"first_name": "FITSUM",
"middle_name": "TILAHUN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-15",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD470880",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA12298000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.