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DR. DAGMAWE AYALEW M.D.
NPI 1215363668
Internal Medicine in Cincinnati, OH

Active since September 17, 2013PECOS EnrolledAccepts Medicare Assignment
4777 E. GALBRAITH RD, CINCINNATI, OH 45236(513) 686-5446(513) 686-5443 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Dagmawe Ayalew M.d. NPPES

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

DR. DAGMAWE AYALEW M.D. (NPI 1215363668) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (57.022648) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Smith County Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1215363668
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAGMAWE AYALEWCredential: M.D.
Location Address4777 E. GALBRAITH RDCincinnati, OH 45236
Mailing Address4777 E. Galbraith RdCincinnati, OH 45236 · (513) 686-5446 · Fax (513) 686-5443
Phone(513) 686-5446
Fax(513) 686-5443
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 17, 2013
Last NPPES UpdateJuly 26, 2016
✔ NPI 1215363668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 57.022648
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.
4777 E. GALBRAITH RD, Cincinnati, OH 45236
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Other Identifiers 1

Medicaid0127303OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.Insurance ›

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

Dr. Dagmawe Ayalew M.d. 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 ID9133407380
PECOS Enrollment IDI20170315001240
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dagmawe Ayalew reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chi Health Clinic Specialty, LLC
659 mi
Hospitalist
555 S 70TH ST
Lincoln, NE 68510
  • Reassigned Medicare billing, Nebraska enrollment
  • 525 clinicians in this Medicare group
NPI 1285138065 (402) 219-8000
Cheyenne County Hospital Association Inc
990 mi
Critical Access
1000 POLE CREEK CROSSING
Sidney, NE 69162
  • Reassigned Medicare billing, Nebraska enrollment
  • 70 clinicians in this Medicare group
NPI 1487736963 (308) 254-5825

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 9

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 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.
222 services114 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.
194 services190 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.
146 services139 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.
89 services88 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.
76 services52 patients
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.
75 services52 patients

Hospital Affiliations CMS Care Compare 5

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

Smith County Memorial Hospital

Critical Access Hospitals · Smith Center, KS
OwnershipGovernment - Local
CMS Certification Number171377
Location921 E. Highway 36Smith Center, KS 66967 · Smith County
Emergency services

Chi Health Good Samaritan

Acute Care Hospitals · Kearney, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280009
LocationP O Box 1990, 10 East 31st StKearney, NE 68847 · Buffalo County
Emergency services Birthing friendly

Kearney County Health Services Hospital

Critical Access Hospitals · Minden, NE
OwnershipGovernment - Local
CMS Certification Number281306
Location727 East 1st StMinden, NE 68959 · Kearney County
Emergency services

Valley County Health System

Critical Access Hospitals · Ord, NE
OwnershipGovernment - Local
CMS Certification Number281353
Location2707 L StreetOrd, NE 68862 · Valley County
Emergency services

Sidney Regional Medical Center

Critical Access Hospitals · Sidney, NE
OwnershipVoluntary non-profit - Private
CMS Certification Number281357
Location1000 Pole Creek CrossingSidney, NE 69162 · Cheyenne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45236 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

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 supplier11 claims11 services$119.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Dagmawe Ayalew's NPI number?

The NPI number for Dagmawe Ayalew is 1215363668. It was assigned to this individual provider in the NPPES registry on September 17, 2013.

Where is Dagmawe Ayalew located?

Dagmawe Ayalew practices at 4777 E. Galbraith Rd, Cincinnati, OH 45236. The listed phone number is (513) 686-5446.

What is Dagmawe Ayalew's specialty?

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

Is Dagmawe Ayalew enrolled in Medicare?

Yes. Dagmawe Ayalew 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 Dagmawe Ayalew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dagmawe Ayalew reassigns Medicare benefits to 2 organizations: Chi Health Clinic Specialty, LLC (Lincoln, NE) and Cheyenne County Hospital Association Inc (Sidney, NE). 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 Dagmawe Ayalew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dagmawe Ayalew accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Dagmawe Ayalew 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 Dagmawe Ayalew affiliated with any hospitals?

According to CMS data, Dagmawe Ayalew is affiliated with Smith County Memorial Hospital, Chi Health Good Samaritan, Kearney County Health Services Hospital, Valley County Health System and Sidney Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Dagmawe Ayalew was last updated on July 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.