Active NPI
Eden Tesfaye Wudneh, M.D.
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD472394
- 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.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
Hospitalist, NC
-
- Internal Medicine Physician
- Longview, TX
- NPI 1992586150
Internal Medicine, TX
-
- Hospitalist Physician
- West Memphis, AR
- NPI 1912942665
Internal Medicine, VA
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1942444088
Internal Medicine, PA
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Internal Medicine, TX
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
Internal Medicine, VA
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Internal Medicine, TX
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1073095915
Internal Medicine
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
Hospital
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, PLLCSoutheastern Medical Group PCHospital Physician Services - Southeast Professional CorporationHospital Medicine Services of Tennessee PCSoutheastern Intensivist Services PC
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
- Memorial Mission Hospital and Asheville Surgery Ce
- Christus St Michael Health System
- Roane Medical Center
- Fort Loudoun Medical Center
- Person Memorial Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, PA, VA, NC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Medicine | 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD472394 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| North Texas Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Hospital Physician Services - Southeast Professional Corporation | Hospitalist | Current | Accepting new patients |
| Sentara Medical Group | Internal Medicine | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Current | Accepting new patients | |
| Southeastern Medical Group, PC | Hospitalist | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Temple Physician Inc. | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| Temple Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Southeastern Intensivist Services PC | Internal Medicine | Current | Accepting new patients |
| Temple Faculty Practice Plan Inc | Internal Medicine | Current | Accepting new patients |
| Temple Physicians Inc. | Current | Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Internal Medicine | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.