NPIMap

Individual provider Active NPI

Nebiyu Metaferia Beteselassie, M.D.

  • Diagnostic Radiology Physician
  • Kansas City, MO
National Provider Identifier
1982822847
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0072099 Issued in MD
Practice address
127 W 10TH St
202
Kansas City, MO 64105-1761
Phone
(816) 404-0751
NPI assigned
Apr 23, 2007
Last updated
Jul 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0072099 MD Primary

Addresses

Primary practice location

127 W 10TH St
202
Kansas City, MO 64105-1761

Mailing address

7253 Ambassador Road
Credentialing Department
Baltimore, MD 21244-2710
Phone (443) 436-1116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110811000315 MD Practitioner - Diagnostic Radiology 2466621297 Reassigns benefits to 1 organization
I20220921000480 DC Practitioner - Diagnostic Radiology 2466621297 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Radiologists IncGroup PAC ID 5395640650, 124 clinicians
Advanced Radiology Consultants of Kansas City PAGroup PAC ID 0042645947, 28 clinicians

Practice addresses (Care Compare)

14999 Health Ctr Dr
Suite 102
Bowie, MD 20716-1075
Phone (888) 601-0943

1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (888) 601-0943

3280 Urbana Pike
Suite 105
Ijamsville, MD 21754-9411
Phone (888) 601-0943

504 E Ridgeville Blvd
Suite 130
Mount Airy, MD 21771-5942
Phone (888) 601-0943

5801 Johnson CT
Bethesda, MD 20817-3417
Phone (757) 466-0089

7140 Contee Rd
Suite 2000
Laurel, MD 20707-9527
Phone (443) 436-1666

7211 Bank CT
Suite 100
Frederick, MD 21703-2807
Phone (888) 601-0943

7811 Fulbright CT
Bethesda, MD 20817-3119
Phone (913) 393-9729

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (888) 601-0943

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.62 of 100Reported as group
Quality
81.9
Improvement activities
40
Cost
98.59

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
81.86 of 100Reported as group
Quality
97.21
Improvement activities
40
Cost
44.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0072099MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Aug 1, 2022 Accepting new patients
Advanced Radiology Consultants of Kansas City, PA Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Premier Open MRI, Inc. Diagnostic Radiology CurrentSince Aug 30, 2023 Accepting new patients
Medical Center Radiologists Inc Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Johns Hopkins University Diagnostic Radiology Past Accepting new patients
Radiology Imaging of Nebraska, LLC Diagnostic Radiology Past Accepting new patients
Summit Surgical, LLC Past Accepting new patients
Wichita Radiological Group Prof Assoc Past Accepting new patients
Radiology Imaging Associates, PC Diagnostic Radiology Past Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients
Summit Surgical LLC Past Accepting new patients

Locations

27424 Network Pl
Chicago, IL 60673

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

500 S Main St
Wichita, KS 67202
Phone (316) 262-1103

14999 Health Center Dr
Ste 102
Bowie, MD 20716
Phone (301) 438-5150

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884

15225 Shady Grove Rd
Ste 105
Rockville, MD 20850
Phone (301) 670-6500

950 Harry S Truman Dr N
Ste 150
Upper Marlboro, MD 20774
Phone (240) 471-3200

Interoperability endpoints

  • Direct secure messaging: nebiyu.beteselassie@direct.tmcmed.org

Organizations & group practices 12

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.

Hospital & facility affiliations 10

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1982822847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7253 AMBASSADOR ROAD",
            "address_2": "CREDENTIALING DEPARTMENT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442710",
            "telephone_number": "443-436-1116",
            "fax_number": "443-436-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W 10TH ST",
            "address_2": "202",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641051761",
            "telephone_number": "816-404-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETESELASSIE",
        "first_name": "NEBIYU",
        "middle_name": "METAFERIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0072099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.