Active NPI
Wendwesen Kassa Lemma, MD
- Family Medicine Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MDCE.ML.61488604
- Practice address
- 3020 S Union Ave
Tacoma, WA 98409-3317 - Phone
- (253) 844-4327
- NPI assigned
- Oct 18, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MDCE.ML.61488604 | WA | Primary |
Addresses
Primary practice location
3020 S Union Ave
Tacoma, WA 98409-3317
Mailing address
808 Fir St Unit 242
Seattle, WA 98104-5144
Phone (425) 626-9905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250731000835 | WA | Order and Referring Only - Internal Medicine | 0244677623 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDCE.ML.61488604 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartwood Operator LLC | Past | Accepting new patients | |
| Alaska Gardens SNF Operations LLC | Past | Accepting new patients | |
| BD Tacoma I, LLC | Past | Accepting new patients |
Interoperability endpoints
- wendwesen.lemma.1@18826.direct.athenahealth.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Heartwood Extended Healthcare | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Apr 1, 2020 Apr 1, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Tacoma, WA
- NPI 1215576186
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 3
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.
-
- Skilled Nursing Facility
- Tacoma, WA
- NPI 1033795315
-
- Skilled Nursing Facility
- Tacoma, WA
- NPI 1316045537
-
- Skilled Nursing Facility
- Tacoma, WA
- NPI 1215576186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697587200000",
"number": "1952183592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 FIR ST UNIT 242",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981045144",
"telephone_number": "425-626-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 S UNION AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984093317",
"telephone_number": "253-844-4327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMMA",
"first_name": "WENDWESEN",
"middle_name": "KASSA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-18",
"last_updated": "2023-10-18",
"certification_date": "2023-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MDCE.ML.61488604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.