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Tsegereda Tewolde

Case Manager/Care Coordinator β€’ Columbus, OH

Deactivated NPI 1225676182 Deactivated in NPPES Female Practitioner
Practice location in NPPES

881 E Main St
Columbus, OH 432051713

Phone: 6142538537

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of September 17, 2026; the reason is not published. The records below are historical. They do not show whether Tsegereda Tewolde currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date December 11, 2019
NPI Deactivation Date September 17, 2026
NPI Active Period 2019 – 2026

Practice Location & Contact Primary Location

Practice Address

881 E Main St

Columbus, OH 432051713

Telephone 6142538537
Fax 6142538539
Organization at the Same NPPES Address or Phone
Red Star Medical Transportation Services Llc Facility NPI 1104371269

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Columbus and Ohio

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2019-12-11
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
NPI 1093208647

Doctor of Medicine (M.D.), Master of Business Administration

Dr. Chandre Gowda , MD

Family Medicine

NPI 1235162322

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
⚠️
NPI Profile Deactivated September 17, 2026

NPPES lists this NPI as deactivated as of September 17, 2026; the reason is not published.

βœ…
NPI Profile Active December 11, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 11, 2019

Registered at 881 E MAIN ST, COLUMBUS, OH 432051713 (Tel: 6142538537)

πŸ“
Business Mailing Address (Initial Record) December 11, 2019

Registered at 881 E MAIN ST, COLUMBUS, OH 432051713 (Tel: 6142538537)

πŸ‘€
Provider Name / Credentials (Initial Record) December 11, 2019

Recorded as TSEGEREDA TEWOLDE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2019

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration December 11, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225676182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 11, 2019
Last Update: August 02, 2026
Deactivation Date: September 17, 2026
Sole Proprietor: No

Mailing Address

881 E Main St

Columbus, OH 432051713

Phone: 6142538537

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.