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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LIDIA TESHOME DEGEFA MD
NPI 1194427120
Internal Medicine in Pine Bluff, AR

Active since March 21, 2023PECOS Enrolled
1601 W 40TH AVE, PINE BLUFF, AR 71603(870) 541-6010(870) 541-6009 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2026, Jan 12, 2025, Dec 26, 2024 and 1 more (4 updates tracked since 2023).

About Lidia Teshome Degefa Md NPPES

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

LIDIA TESHOME DEGEFA MD (NPI 1194427120) is an individual internal medicine provider in Pine Bluff, Arkansas, licensed in Tennessee (77230) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194427120
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLIDIA TESHOME DEGEFACredential: MD
Location Address1601 W 40TH AVEPine Bluff, AR 71603-6069
Mailing Address212 Sunset Pl Unit BRedfield, AR 72132-8653 · (901) 364-1627
Phone(870) 541-6010
Fax(870) 541-6009
Sole ProprietorYes
Enumeration DateMarch 21, 2023
Last NPPES UpdateJuly 23, 20264 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1194427120 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 TN · 77230
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 ListedGeneral PracticeTaxonomy 208D00000X · License 18735 (AR)
1601 W 40TH AVE, Pine Bluff, AR 71603
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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 (PECOS)

Lidia Teshome Degefa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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. TERRY LIEFDE MD
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000
PAVANA NAGA GOPI KRISHNA TIRUMANISETTI MD
Family Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6000
JEFFERSON HEART, P.A.
Specialist
1601 W 40TH AVE, SUITE 301
PINE BLUFF, AR 71603
Jefferson County (870) 541-4285
CHINEDU MICHAEL MIKE-ENEH M.B.B.S
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
HIRA EJAZ SHAH M D
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
DR. AYMAN ALSHAMI MD
Specialist
1601 W 40TH AVE, SUITE 301
PINE BLUFF, AR 71603
Jefferson County (870) 541-4285
MEFTHE FIKRU BERHANU MD
Family Medicine
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010
DR. ROBERTO AGUSTIN MIRANDA RIVAS MD
Student in an Organized Health Care Education/Training Program
1601 W 40TH AVE
PINE BLUFF, AR 71603
Jefferson County (870) 541-6010

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 Lidia Degefa's NPI number?

The NPI number for Lidia Degefa is 1194427120. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Lidia Degefa located?

Lidia Degefa practices at 1601 W 40th Ave, Pine Bluff, AR 71603. The listed phone number is (870) 541-6010.

What is Lidia Degefa's specialty?

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

Is Lidia Degefa enrolled in Medicare?

Yes. Lidia Degefa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lidia Degefa was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.