TESFATSIYON MAMMO ERGANDO MD
NPI 1043884224
Internal Medicine in Minneapolis, MN
About Tesfatsiyon Mammo Ergando Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TESFATSIYON MAMMO ERGANDO MD (NPI 1043884224) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (72769) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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
Tesfatsiyon Mammo Ergando Md 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.
Medicare Billing Reassignments
10Medicare enrollment records show Tesfatsiyon Ergando reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 671 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Robbinsdale, MN 55422
- Reassigned Medicare billing, Minnesota enrollment
- 540 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 clinicians in this Medicare group
Albany, MN 56307
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1326234006 (Minnesota)
- 205 clinicians in this Medicare group
Crosby, MN 56441
- Reassigned Medicare billing, Minnesota enrollment
- 224 clinicians in this Medicare group
Cloquet, MN 55720
- Reassigned Medicare billing, Minnesota enrollment
- 93 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 166 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNM Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNM Health Fairview Woodwinds Hospital
Acute Care Hospitals · Woodbury, MNMaple Grove Hospital
Acute Care Hospitals · Maple Grove, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55455 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Tesfatsiyon Ergando's NPI number?
The NPI number for Tesfatsiyon Ergando is 1043884224. It was assigned to this individual provider in the NPPES registry on May 13, 2021.
Where is Tesfatsiyon Ergando located?
Tesfatsiyon Ergando practices at 420 Delaware Street SE, Mmc 284, Minneapolis, MN 55455. The listed phone number is (612) 626-5454.
What is Tesfatsiyon Ergando's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Tesfatsiyon Ergando enrolled in Medicare?
Yes. Tesfatsiyon Ergando 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 Tesfatsiyon Ergando's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tesfatsiyon Ergando reassigns Medicare benefits to 10 organizations: Fairview Bethesda Hospital (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Healtheast Medical Research Institute (Saint Paul, MN), Healtheast St. John's Hospital (Saint Paul, MN), North Memorial Health Care (Robbinsdale, MN) and 5 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 Tesfatsiyon Ergando's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tesfatsiyon Ergando affiliated with any hospitals?
According to CMS data, Tesfatsiyon Ergando is affiliated with M Health Fairview Southdale Hospital, M Health Fairview St John's Hospital, M Health Fairview Woodwinds Hospital and Maple Grove Hospital.
When was this NPI record last updated?
The NPPES record for Tesfatsiyon Ergando was last updated on June 18, 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.
# Tesfatsiyon Mammo Ergando, MD · NPI 1043884224
Internal Medicine physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since May 13, 2021.
## Identity
- **NPI:** 1043884224 (Entity type: Individual)
- **Enumerated:** May 13, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 72769 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 420 DELAWARE STREET SE, MMC 284, Minneapolis, MN 55455
- **Phone:** (612) 626-5454
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Fairview Bethesda Hospital (NPI 1275412561, Minneapolis, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN); Healtheast St. John's Hospital (NPI 1558240853, Saint Paul, MN); North Memorial Health Care (NPI 1285657247, Robbinsdale, MN); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** June 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1043884224) · Data from the CMS NPPES public registry.