Individual provider Active NPI

Eden Tesfaye Wudneh, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1851822902
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD472394 Issued in PA
Practice address
3401 N Broad St
Philadelphia, PA 19140-5103
Phone
(215) 707-1622
Fax
(215) 707-0943
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Physician Services, PLLC 236 clinicians
Southeastern Medical Group PC 37 clinicians
Hospital Physician Services - Southeast Professional Corporation 825 clinicians
Hospital Medicine Services of Tennessee PC 157 clinicians
Southeastern Intensivist Services PC 234 clinicians

Practice addresses (Care Compare)

1007 S William St
Atlanta, TX 75551-3245
Phone (903) 799-3000

124 One Ctr CT
Franklin, NC 28734-0192
Phone (828) 524-8411

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

550 Fort Loudon Medical Ctr Dr
Lenoir City, TN 37772-5673
Phone (865) 271-6500

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 320-3911

Hospital & facility affiliations

  • CJW Medical Center Hospital, Richmond, VA, CCN 490112
  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • Roane Medical Center Hospital, Harriman, TN, CCN 440031
  • Fort Loudoun Medical Center Hospital, Lenoir City, TN, CCN 440110
  • Person Memorial Hospital Nursing home, Roxboro, NC, CCN 345004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA, VA, NC, TN5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20201125000975 TX Practitioner - Internal Medicine 1557772449 Reassigns benefits to 3 organizations
I20220408001063 PA Practitioner - Internal Medicine 1557772449 Reassigns benefits to 2 organizations
I20220920000089 VA Practitioner - Internal MedicinePractitioner - Hospitalist 1557772449 Reassigns benefits to 3 organizations
I20241223002705 NC Practitioner - Internal Medicine 1557772449 Reassigns benefits to 2 organizations
I20260521004662 TN Practitioner - Internal Medicine 1557772449 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD472394PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Dec 1, 2024 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Nov 1, 2022 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Dec 31, 2021 Accepting new patients
Southeastern Medical Group, PC Hospitalist CurrentSince Dec 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients
Temple Physician Inc. Internal Medicine CurrentSince Feb 4, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
Southeastern Intensivist Services PC Internal Medicine CurrentSince Jul 31, 2024 Accepting new patients
Temple Faculty Practice Plan Inc Internal Medicine CurrentSince Dec 31, 2021 Accepting new patients
Temple Physicians Inc. CurrentSince Feb 4, 2022 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Sep 1, 2022 Accepting new patients
DLP Person Memorial Hospital LLC Past Accepting new patients
Christus Health Ark-la-Tex Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214

190 Hospital Dr
Highlands, NC 28741
Phone (828) 213-9530

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

100 E Lehigh Ave
Philadelphia, PA 19125
Phone (215) 707-1200

3500 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3656

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

1060 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 395-2323

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X S8506 TX
Internal Medicine Physician 207R00000X 0101269484 VA
Hospitalist Physician 208M00000X 0101269484 VA
Internal Medicine Physician 207R00000X 2024-03089 NC
Internal Medicine Physician 207R00000X MD472394 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Mailing address

3500 N Broad St
Philadelphia, PA 19140-4106
Phone (215) 707-1622

Other practice location 1

1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone (832) 818-5073

Other practice location 2

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (832) 818-5073

Other practice location 3

1060 First Colonial Rd
Virginia Beach, VA 23454-3002
Phone (757) 395-2323

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2025.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1851822902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106",
            "telephone_number": "215-707-1622",
            "fax_number": "215-707-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-1622",
            "fax_number": "215-707-0943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Pelham Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611138",
            "country_code": "US",
            "telephone_number": "832-818-5073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Saint Michael Dr",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755032372",
            "country_code": "US",
            "telephone_number": "832-818-5073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1060 First Colonial Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234543002",
            "country_code": "US",
            "telephone_number": "757-395-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WUDNEH",
        "first_name": "EDEN",
        "middle_name": "TESFAYE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "S8506",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101269484",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101269484",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2024-03089",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD472394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.