BISRAT NIGUSSIE M.D.
NPI 1275060949
Internal Medicine - Cardiovascular Disease in La Plata, MD
About Bisrat Nigussie M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BISRAT NIGUSSIE M.D. (NPI 1275060949) is an individual cardiovascular disease provider in La Plata, Maryland, licensed in Maryland (D01054138) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS, is affiliated with University Of Md Charles Regional Medical Center, and maintains a secondary practice location in Newark.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Bisrat Nigussie 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.
Medicare Billing Reassignments
3Medicare enrollment records show Bisrat Nigussie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Plata, MD 20646
- Reassigned Medicare billing, Maryland enrollment
- 39 clinicians in this Medicare group
La Plata, MD 20646
- Reassigned Medicare billing, Maryland enrollment
- 966 clinicians in this Medicare group
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of MD Charles Regional Medical Center
Acute Care Hospitals · La Plata, MDNewark Beth Israel Medical Center
Acute Care Hospitals · Newark, NJRobert Wood Johnson University Hospital At Rahway
Acute Care Hospitals · Rahway, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20646 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LA PLATA, MD 20646
LA PLATA, MD 20646
LA PLATA, MD 20646
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 Bisrat Nigussie's NPI number?
The NPI number for Bisrat Nigussie is 1275060949. It was assigned to this individual provider in the NPPES registry on May 12, 2017.
Where is Bisrat Nigussie located?
Bisrat Nigussie practices at 5 Garrett Ave, La Plata, MD 20646. The listed phone number is (301) 609-4000.
What is Bisrat Nigussie's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Bisrat Nigussie enrolled in Medicare?
Yes. Bisrat 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.
Which organizations bill Medicare for Bisrat Nigussie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bisrat Nigussie reassigns Medicare benefits to 3 organizations: Civista Medical Center Inc (La Plata, MD), University Of Maryland Community Medical Group, Inc. (La Plata, MD) and Barnabas Health Medical Group PC (Elizabeth, NJ). 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 Bisrat Nigussie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bisrat Nigussie accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Bisrat 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 Bisrat Nigussie affiliated with any hospitals?
According to CMS data, Bisrat Nigussie is affiliated with University Of MD Charles Regional Medical Center, Newark Beth Israel Medical Center and Robert Wood Johnson University Hospital At Rahway.
When was this NPI record last updated?
The NPPES record for Bisrat Nigussie was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.
# Bisrat Nigussie, M.D. · NPI 1275060949
Cardiovascular Disease physician in La Plata, Maryland. Individual provider, active in the CMS NPPES registry since May 12, 2017.
## Identity
- **NPI:** 1275060949 (Entity type: Individual)
- **Enumerated:** May 12, 2017
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** D01054138 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 5 GARRETT AVE, La Plata, MD 20646-5960
- **Phone:** (301) 609-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Civista Medical Center Inc (NPI 1992701825, La Plata, MD); University Of Maryland Community Medical Group, Inc. (NPI 1679393854, La Plata, MD); Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1275060949) · Data from the CMS NPPES public registry.