WEGAHTA KIDANE GHEBREIYESUS MD
NPI 1194619197
Internal Medicine in Grand Rapids, MI

Active since June 04, 2025
300 LAFAYETTE AVE, SUITE 3000, GRAND RAPIDS, MI 49503(616) 685-6919(616) 685-3063 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 11, 2025, Jun 4, 2025 (2 updates tracked since 2025).

About Wegahta Kidane Ghebreiyesus Md NPPES

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

WEGAHTA KIDANE GHEBREIYESUS MD (NPI 1194619197) is an individual internal medicine provider in Grand Rapids, Michigan, licensed in Michigan (4351054941) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1194619197
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameWEGAHTA KIDANE GHEBREIYESUSCredential: MD
Location Address300 LAFAYETTE AVE, SUITE 3000Grand Rapids, MI 49503
Mailing Address200 Jefferson Ave, Suite 305Grand Rapids, MI 49503 · (616) 685-4615 · Fax (616) 685-3033
Fax(616) 685-3063
Sole ProprietorNo
Enumeration DateJune 4, 2025
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPI 1194619197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4351054941
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.
300 LAFAYETTE AVE, Grand Rapids, MI 49503

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
300 LAFAYETTE AVE, SUITE 3000
GRAND RAPIDS, MI 49503
Internal Medicine
300 LAFAYETTE AVE, SUITE 3000
GRAND RAPIDS, MI 49503
Family Medicine
300 LAFAYETTE AVE
GRAND RAPIDS, MI 49503
Internal Medicine
300 LAFAYETTE AVE, SUITE 3000
GRAND RAPIDS, MI 49503
Internal Medicine
300 LAFAYETTE AVE, SUITE 3000
GRAND RAPIDS, MI 49503
Internal Medicine
300 LAFAYETTE AVE, SUITE 300
GRAND RAPIDS, MI 49503

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 Wegahta Ghebreiyesus's NPI number?

The NPI number for Wegahta Ghebreiyesus is 1194619197. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Where is Wegahta Ghebreiyesus located?

Wegahta Ghebreiyesus practices at 300 Lafayette Ave Suite 3000, Grand Rapids, MI 49503. The listed phone number is (616) 685-6919.

What is Wegahta Ghebreiyesus's specialty?

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

When was this NPI record last updated?

The NPPES record for Wegahta Ghebreiyesus was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.