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GASHAW ADUGNA M.D
NPI 1003342346
Internal Medicine in Annapolis, MD

Active since May 05, 2017PECOS EnrolledAccepts Medicare Assignment
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401(240) 495-4189 Get Directions Write a Review

NPPES record last updated: January 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gashaw Adugna M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GASHAW ADUGNA M.D (NPI 1003342346) is an individual internal medicine provider in Annapolis, Maryland, licensed in Maryland (D0090179) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with Luminis Health Anne Arundel Medical Center, Inc, and maintains a secondary practice location in Gambrills.

NPPES Registry Identity

NPI1003342346
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGASHAW ADUGNACredential: M.D
Location Address2001 MEDICAL PKWYAnnapolis, MD 21401-3773
Mailing Address2001 Medical PkwyAnnapolis, MD 21401-3773 · (240) 495-4189
Phone(240) 495-4189
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 5, 2017
Last NPPES UpdateJanuary 20, 2025
NPPES CertifiedJanuary 20, 2025
✔ NPI 1003342346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0090179
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2001 MEDICAL PKWY, Annapolis, MD 21401
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Secondary Practice Location 1

Location 12614 Chapel Lake DrGambrills, MD 21054-1637 · Phone (240) 495-4189

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gashaw Adugna M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789929472
PECOS Enrollment IDI20200901001679
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Gashaw Adugna reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Luminis Health Medical Group, LLC
Same address
Pulmonary Disease
2001 MEDICAL PKWY
Annapolis, MD 21401
  • Reassigned Medicare billing, Maryland enrollment
  • 794 clinicians in this Medicare group
NPI 1215577077 (443) 481-6472
Healtopia Primary Care And Medical Weight Loss, LLC
8.6 mi
Internal Medicine
2614 CHAPEL LAKE DR
Gambrills, MD 21054
  • Reassigned Medicare billing, Maryland enrollment
  • 2 clinicians in this Medicare group
NPI 1083419857 (202) 780-6803
Northwest Hospital Center, Inc
29 mi
Surgery of the Hand
5401 OLD COURT RD
Randallstown, MD 21133
  • Reassigned Medicare billing, Maryland enrollment
  • 194 clinicians in this Medicare group
NPI 1982708228 (410) 521-2200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
801 services385 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
275 services163 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
262 services257 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
35 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Luminis Health Anne Arundel Medical Center, Inc

Acute Care Hospitals · Annapolis, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210023
Location2001 Medical ParkwayAnnapolis, MD 21401 · Anne Arundel County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers35 claims35 services$44.86 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier26 claims26 services$68.96 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$20.44 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier19 claims19 services$34.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VANESSA MONSALVE-GOMEZ MD
Student in an Organized Health Care Education/Training Program
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-5543
HEATHER ZACK
General Acute Care Hospital
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 927-6383
SARAH LYNN HERN LCSW-C
Counselor (Mental Health)
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-1272
RIYO RAJAN PHARMD
Pharmacist (Oncology)
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-4157
DIMENSIONS HEALTHCARE ASSOCIATES INC
Obstetrics & Gynecology
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-1000
ERIC HADHAZY
Student in an Organized Health Care Education/Training Program
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-4142
ANNE ARUNDEL MEDICAL CENTER
General Acute Care Hospital
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-1000
DR. ELIZABETH ANNE HAHN MD
Student in an Organized Health Care Education/Training Program
2001 MEDICAL PKWY
ANNAPOLIS, MD 21401
Anne Arundel County (443) 481-4142

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gashaw Adugna's NPI number?

The NPI number for Gashaw Adugna is 1003342346. It was assigned to this individual provider in the NPPES registry on May 5, 2017.

Where is Gashaw Adugna located?

Gashaw Adugna practices at 2001 Medical Pkwy, Annapolis, MD 21401. The listed phone number is (240) 495-4189.

What is Gashaw Adugna's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gashaw Adugna enrolled in Medicare?

Yes. Gashaw Adugna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gashaw Adugna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gashaw Adugna reassigns Medicare benefits to 3 organizations: Luminis Health Medical Group, LLC (Annapolis, MD), Healtopia Primary Care And Medical Weight Loss, LLC (Gambrills, MD) and Northwest Hospital Center, Inc (Randallstown, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gashaw Adugna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gashaw Adugna affiliated with any hospitals?

According to CMS data, Gashaw Adugna is affiliated with Luminis Health Anne Arundel Medical Center, Inc.

When was this NPI record last updated?

The NPPES record for Gashaw Adugna was last updated on January 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.