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FISSEHA YITBAREK GHIDEY M.D
NPI 1013145887
Internal Medicine in Hyattsville, MD

Active since June 30, 2009PECOS EnrolledAccepts Medicare Assignment
4509 GARFIELD ST, HYATTSVILLE, MD 20781(718) 710-1813 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 7, 2024, Nov 21, 2023, May 23, 2022 and 5 more (8 updates tracked since 2015).

About Fisseha Yitbarek Ghidey M.d NPPES

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

FISSEHA YITBAREK GHIDEY M.D (NPI 1013145887) is an individual internal medicine provider in Hyattsville, Maryland, licensed in Wisconsin (59991) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1013145887
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFISSEHA YITBAREK GHIDEYCredential: M.D
Location Address4509 GARFIELD STHyattsville, MD 20781
Mailing Address4509 Garfield StHyattsville, MD 20781-1963 · (718) 710-1813 · Fax (253) 284-1881
Phone(718) 710-1813
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 30, 2009
Last NPPES UpdateMarch 7, 20248 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1013145887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in WI · 59991✔ Licensed in VA · 0101251331✔ Licensed in DC · MD041448✔ Licensed in MD · D79362
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.
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 0101251331 (VA), 59991 (WI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4509 GARFIELD ST, Hyattsville, MD 20781
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Secondary Practice Locations 3

Location 11818 N Meade St Ste 130Appleton, WI 54911-3454 · Phone (920) 831-1841 · Fax (920) 831-1834
Location 2850 Kempsville Rd Ste 100FNorfolk, VA 23502-3920 · Phone (757) 261-5910
Location 3945 N 12th StMilwaukee, WI 53233-1305 · Phone (414) 219-2000

Other Identifiers 2

Medicaid1265485270VA
Medicaid100045960WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas, Inc., CareSource (Common Ground Healthcare) and more.Insurance ›

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

Fisseha Yitbarek Ghidey 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 ID8224286786
PECOS Enrollment IDI20150714003195
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

12

Medicare enrollment records show Fisseha Ghidey reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sentara Medical Group
151 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
NPI 1265485270 (757) 252-2900
Fyi Public Health Consultancy LLC
636 mi
Internal Medicine
1967 W SUGAREE LN UNIT 1605
Oak Creek, WI 53154
  • Reassigned Medicare billing, Wisconsin enrollment
NPI 1760366975 (718) 710-1813
Columbia St. Mary's Hospital Milwaukee, Inc
637 mi
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1023064482 (414) 585-1000
Ascension Medical Group-Southeast Wisconsin Inc
638 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Aurora Medical Group, Inc.
639 mi
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1427271378 (877) 576-3544
Asif Iqbal MD Sc
651 mi
Infectious Disease
19390 COMPTON LN
Brookfield, WI 53045
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
NPI 1750668414 (414) 559-6685
Baycare Aurora, LLC
684 mi
General Acute Care Hospital
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 394 clinicians in this Medicare group
NPI 1255387726 (920) 288-8000
Ascension Medical Group-Fox Valley Wisconsin, Inc
697 mi
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group
NPI 1730126392 (920) 727-4200
Newman Memorial County Hospital
1,040 mi
Critical Access
1201 W 12TH AVE
Emporia, KS 66801
  • Reassigned Medicare billing, Kansas enrollment
  • 126 clinicians in this Medicare group
NPI 1245643576 (620) 343-6800
William Newton Memorial Hospital
1,096 mi
Rural Health
1700 E 9TH AVE
Winfield, KS 67156
  • Reassigned Medicare billing, Kansas enrollment
  • Also billed through NPI 1548229149 (Kansas)
  • 156 clinicians in this Medicare group
NPI 1003473554 (620) 221-0110

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 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.
182 services72 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
102 services69 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
43 services38 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.
32 services30 patients
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.
23 services11 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20781 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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 Fisseha Ghidey's NPI number?

The NPI number for Fisseha Ghidey is 1013145887. It was assigned to this individual provider in the NPPES registry on June 30, 2009.

Where is Fisseha Ghidey located?

Fisseha Ghidey practices at 4509 Garfield St, Hyattsville, MD 20781. The listed phone number is (718) 710-1813.

What is Fisseha Ghidey's specialty?

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

Is Fisseha Ghidey enrolled in Medicare?

Yes. Fisseha Ghidey 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 Fisseha Ghidey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fisseha Ghidey reassigns Medicare benefits to 12 organizations: Sentara Medical Group (Norfolk, VA), Fyi Public Health Consultancy LLC (Oak Creek, WI), Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Aurora Medical Group, Inc. (Milwaukee, WI) and 7 more organizations, listed in the Medicare section above. 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 Fisseha Ghidey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fisseha Ghidey accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas, Inc., CareSource (Common Ground Healthcare) and HealthPartners list Fisseha Ghidey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Fisseha Ghidey affiliated with any hospitals?

According to CMS data, Fisseha Ghidey is affiliated with Aurora Health Care Central Inc, Ascension All Saints Hospital, Ascension SE Wisconsin Hospital, Aurora St Lukes Medical Center and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Fisseha Ghidey was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.