DR. HABTEMARIAM KUMELACHEW DESSIE (MD) – Neurology Physician, NPI 1154959492

DR. HABTEMARIAM KUMELACHEW DESSIE (MD) is a healthcare provider. based in Reno, Nevada. specializing in HOSPITALIST, NEUROLOGY, NEUROLOGY. They hold the professional credentials MD. They hold a License No. 2024-01134 (NC). The NPI Number for DR. HABTEMARIAM KUMELACHEW DESSIE (MD) is 1154959492

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. HABTEMARIAM KUMELACHEW DESSIE (MD)
NPI
1154959492
Phone
(775) 982-5262
Address
1155 MILL ST # M14
Enumeration Date
31 March 2020
Last Update Date
26 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027076960
Graduation Year
2020 (6 years ago)
PAC ID
8426583030
Group Practice PAC ID
1355736646
Professional Enrollment ID
I20250714001682
Address ID
NV891092425LA3201XPKWY404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Digital endpointsOther names

343 HOSPITALIST in NV

Provider Addresses for DR. HABTEMARIAM KUMELACHEW DESSIE (MD)

  • 1155 MILL ST # M14

    RENO, NV 895021576

    Phone: (775) 982-5262

    Type: Mailing

  • 1155 MILL ST

    RENO, NV 895021576

    Phone: (775) 982-4521

    Fax: (775) 982-2973

    Type: Location

  • 17 DAVIS BLVD STE 308

    TAMPA, FL 336063438

    Phone: (813) 974-2201

    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: 2025-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20241119004255INeurologyNCTBD
I20250714001682IHospitalistNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89502)

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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: 1355736646View full group profile
NameSpecialtyState
Neurology, NeurosurgeryCT
N E U R O L O G YNV
Neurology, Vascular SurgeryCA
Vascular Surgery, NeurologyNY
N E U R O L O G YAZ

Reviews

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Frequently asked questions

Does DR. HABTEMARIAM KUMELACHEW DESSIE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. HABTEMARIAM KUMELACHEW DESSIE (MD) uses 1154959492.
Is DR. HABTEMARIAM KUMELACHEW DESSIE (MD) still practicing?
DR. HABTEMARIAM KUMELACHEW DESSIE (MD) is currently listed as active in the public NPI registry.
What is DR. HABTEMARIAM KUMELACHEW DESSIE (MD)'s primary classification?
Neurology Physician is the headline specialty for DR. HABTEMARIAM KUMELACHEW DESSIE (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. HABTEMARIAM KUMELACHEW DESSIE (MD)?
DR. HABTEMARIAM KUMELACHEW DESSIE (MD)'s geographic hint is Reno, Nevada in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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