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HILINA GEMEDA MD
NPI 1104314012
Internal Medicine in Va Beach, VA

Active since April 26, 2018PECOS EnrolledAccepts Medicare Assignment
2025 GLENN MITCHELL DR, VA BEACH, VA 23456(757) 967-8622 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2021, Apr 26, 2018 (2 updates tracked since 2018).

About Hilina Gemeda Md NPPES

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

HILINA GEMEDA MD (NPI 1104314012) is an individual internal medicine provider in Va Beach, Virginia, licensed in Virginia (0101272841) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1104314012
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHILINA GEMEDACredential: MD
Location Address2025 GLENN MITCHELL DRVa Beach, VA 23456-0178
Mailing Address3241 Western Branch Blvd Ste AChesapeake, VA 23321-5260 · (757) 967-8622 · Fax (757) 686-0541
Phone(757) 967-8622
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 26, 2018
Last NPPES UpdateOctober 1, 20212 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1104314012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101272841
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2025 GLENN MITCHELL DR, Va Beach, VA 23456
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Hilina Gemeda 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.

PECOS PAC ID2264779206
PECOS Enrollment IDI20210813001855
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.

Areas of Expertise CMS Part B claims 5

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.
579 services192 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.
180 services98 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.
161 services154 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.
62 services61 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.
47 services47 patients

Hospital Affiliations CMS Care Compare 3

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23456 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier28 claims28 services$14.86 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 supplier46 claims46 services$68.30 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.

CLOTILDE JORGINA RAMOS FNP-C
Nurse Practitioner (Family)
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-1000
AKSHAY CHAUDHARI MD
Internal Medicine
2025 GLENN MITCHELL DR
VA BEACH, VA 23456
Virginia Beach City (757) 967-8622
MELODY CRYSTAL HANSON OTR/L
Occupational Therapist (Physical Rehabilitation)
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-1000
DR. MARK TAYLOR VAUGHAN MD
Internal Medicine
2025 GLENN MITCHELL DR
VA BEACH, VA 23456
Virginia Beach City (757) 967-8622
TAYLOR CADDELL DO
Emergency Medicine
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-1000
DR. ADAM CHRISTOPHER HUGHES DO
Hospitalist
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-4123
SANDHYA GUPTA MD
Internal Medicine
2025 GLENN MITCHELL DR
VIRGINIA BEACH, VA 23456
Virginia Beach City (757) 507-4123
DR. KANWARPREET SINGH SAINI M.D.
Internal Medicine
2025 GLENN MITCHELL DR
VIRGINIA BCH, VA 23456
Virginia Beach City (757) 507-4123

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 Hilina Gemeda's NPI number?

The NPI number for Hilina Gemeda is 1104314012. It was assigned to this individual provider in the NPPES registry on April 26, 2018.

Where is Hilina Gemeda located?

Hilina Gemeda practices at 2025 Glenn Mitchell Dr, VA Beach, VA 23456. The listed phone number is (757) 967-8622.

What is Hilina Gemeda's specialty?

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

Is Hilina Gemeda enrolled in Medicare?

Yes. Hilina Gemeda 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.

Is Hilina Gemeda affiliated with any hospitals?

According to CMS data, Hilina Gemeda is affiliated with Sentara Albemarle Medical Center, Sentara Norfolk General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Hilina Gemeda was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.