DR. TEWODROS D ADDISSE (MD) – Hospitalist Physician, NPI 1366412751

DR. TEWODROS D ADDISSE (MD) is a healthcare provider. based in Junction city, Kansas. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 04-28657 (KS). The NPI Number for DR. TEWODROS D ADDISSE (MD) is 1366412751

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. TEWODROS D ADDISSE (MD)
NPI
1366412751
Phone
(785) 238-0325
Address
1102 Saint Marys Rd
Enumeration Date
26 January 2006
Last Update Date
6 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7853545623
Graduation Year
1991 (35 years ago)
PAC ID
2769465111
Group Practice PAC ID
5496659195
Professional Enrollment ID
I20040608000991
Address ID
KS666061632TO1504XAVEX401

Contacts

Secure Messaging
taddisse2403@stormontvaildirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness95
Years active:20State licenses:1Other names

366 HOSPITALIST in KS

Provider Addresses for DR. TEWODROS D ADDISSE (MD)

  • 1102 Saint Marys Rd

    Junction City, KS 664414139

    Phone: (785) 238-0325

    Type: Location

  • Stormont Vail Health, 1500, Southwest 10th Avenue, Topeka, Shawnee County, Kansas, 66604, United States

    TOPEKA, KS 666041301

    Phone: (785) 354-5242

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040608000991IHospitalistKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes701264$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes558230$0
99291Critical care, first 30-74 minutes390135$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes360349$0
99239Hospital discharge day management, more than 30 minutes347343$0
View full utilization report →

Insurance plans in this area (ZIP 66441)

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Provider's Procedures

DR. TEWODROS D ADDISSE (MD) performs procedures in HOSPITALIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HOSPITALISTKS93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report4545

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496659195View full group profile
NameSpecialtyState
-KS
-KS
-KS
Physician AssistantKS
-KS
Cardiac ElectrophysiologyKS
Nurse PractitionerKS
Nurse PractitionerKS
O B S T E T R I C S/ G Y N E C O L O G YKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

Can I verify DR. TEWODROS D ADDISSE (MD) with an NPI only?
You can start verification with NPI 1366412751 for DR. TEWODROS D ADDISSE (MD), then check state licensing separately.
Is DR. TEWODROS D ADDISSE (MD) still practicing?
DR. TEWODROS D ADDISSE (MD) is currently listed as active in the public NPI registry.
What healthcare role does DR. TEWODROS D ADDISSE (MD) hold?
Scheduling teams often label DR. TEWODROS D ADDISSE (MD) under Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Does DR. TEWODROS D ADDISSE (MD) list a practice location?
Patients near Junction City, Kansas may find DR. TEWODROS D ADDISSE (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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