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NEGALIGN TEMESGEN NIGUSSIE MD
NPI 1154815801
Internal Medicine in Brooklyn, NY

Active since June 17, 2018PECOS EnrolledAccepts Medicare Assignment
1545 ATLANTIC AVE, BROOKLYN, NY 11213(718) 613-4000 Get Directions Write a Review

NPPES record last updated: July 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2022, Jun 17, 2018 (2 updates tracked since 2018).

About Negalign Temesgen Nigussie Md NPPES

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

NEGALIGN TEMESGEN NIGUSSIE MD (NPI 1154815801) is an individual internal medicine provider in Brooklyn, New York, licensed in Washington (MD61209242) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1154815801
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNEGALIGN TEMESGEN NIGUSSIECredential: MD
Location Address1545 ATLANTIC AVEBrooklyn, NY 11213-1122
Mailing Address1545 Atlantic AveBrooklyn, NY 11213-1122
Phone(718) 613-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 17, 2018
Last NPPES UpdateJuly 8, 20222 updates tracked since enumeration
NPPES CertifiedJuly 8, 2022
✔ NPI 1154815801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · MD61209242
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.
1545 ATLANTIC AVE, Brooklyn, NY 11213
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Negalign Temesgen Nigussie 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 ID6103170915
PECOS Enrollment IDI20211206001649
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.
156 services80 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.
141 services81 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.
84 services83 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.
50 services22 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Cascade Valley Hospital

Acute Care Hospitals · Arlington, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500060
Location330 S Stillaguamish AveArlington, WA 98223 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11213 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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. SADHANA BOSE MD
Pediatrics
1545 ATLANTIC AVE, INTERFAITH MEDICAL CENTER
BROOKLYN, NY 11213
Kings County (718) 613-4000
QINGWEN ZHENG
Student in an Organized Health Care Education/Training Program
1545 ATLANTIC AVE, DEPARTMENT OF MEDICINE
BROOKLYN, NY 11213
Kings County (605) 670-8415
DR. BILAL SHAHZAD AZAM KHAN M.B.B.S
Student in an Organized Health Care Education/Training Program
1545 ATLANTIC AVE
BROOKLYN, NY 11213
Kings County (718) 613-4000
AMAL SAHA M.D.
Psychiatry & Neurology (Psychiatry)
1545 ATLANTIC AVE
BROOKLYN, NY 11213
Kings County (718) 613-4000
DR. ALLAN R. KEIL M.D.
Radiology (Diagnostic Radiology)
1545 ATLANTIC AVE
BROOKLYN, NY 11213
Kings County (718) 613-4000
SOOK HEE LIM MD
Psychiatry & Neurology (Psychiatry)
1545 ATLANTIC AVE
BROOKLYN, NY 11213
Kings County (800) 376-5566
HILARY TATE
Student in an Organized Health Care Education/Training Program
1545 ATLANTIC AVE
BROOKLYN, NY 11213
Kings County (718) 613-7140
DR. SABIHA AKTER MD
Student in an Organized Health Care Education/Training Program
1545 ATLANTIC AVE
BROOKLYN, NY 11213
Kings County (718) 613-4334

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 Negalign Nigussie's NPI number?

The NPI number for Negalign Nigussie is 1154815801. It was assigned to this individual provider in the NPPES registry on June 17, 2018.

Where is Negalign Nigussie located?

Negalign Nigussie practices at 1545 Atlantic Ave, Brooklyn, NY 11213. The listed phone number is (718) 613-4000.

What is Negalign Nigussie's specialty?

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

Is Negalign Nigussie enrolled in Medicare?

Yes. Negalign Nigussie 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.

What insurance does Negalign Nigussie accept?

Health plans from Providence Health Plan list Negalign Nigussie 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 Negalign Nigussie affiliated with any hospitals?

According to CMS data, Negalign Nigussie is affiliated with Skagit Valley Hospital and Cascade Valley Hospital.

When was this NPI record last updated?

The NPPES record for Negalign Nigussie was last updated on July 8, 2022. 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.