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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BISRAT NIGUSSIE M.D.
NPI 1275060949
Internal Medicine - Cardiovascular Disease in La Plata, MD

Active since May 12, 2017PECOS Enrolled
5 GARRETT AVE, LA PLATA, MD 20646(301) 609-4000 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 22, 2026, Nov 11, 2024, May 12, 2017 (3 updates tracked since 2017).

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

NPI1275060949
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameBISRAT NIGUSSIECredential: M.D.
Location Address5 GARRETT AVELa Plata, MD 20646-5960
Mailing Address900 Elkridge Landing Rd Fl 2Linthicum, MD 21090-2924
Phone(301) 609-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 12, 2017
Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1275060949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in MD · D01054138✔ Licensed in NJ · 25MA12432200
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
5 GARRETT AVE, La Plata, MD 20646
Open in Google Maps ↗

Secondary Practice Location 1

Location 1201 Lyons AveNewark, NJ 07112-2027 · Phone (973) 926-7000

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

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.

PECOS PAC ID7416294541
PECOS Enrollment IDI20250129000540, I20260427002009
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

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
16 services16 patients

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, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210035
Location5 Garrett AvenueLa Plata, MD 20646 · Charles County
Emergency services Birthing friendly

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Physician 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.

New Patient
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
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.

UZMA VAINCE M.D.
Hospitalist
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (301) 609-4000
MRS. NATASHA CHINAKESHA DECAIRES-CHESTER NP
Nurse Practitioner (Gerontology)
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (301) 609-4287
NJIDEKA OGUEJIOFOR MD
Hospitalist
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (301) 609-4000
CHELSEA DAWN HUGHES PAC
Internal Medicine
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (631) 707-1369
OGHENEOCHUKO JOHN OTERI M.D
Emergency Medicine
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (301) 609-4000
ADVANCED PATHOLOGY ASSOCIATES, LLC
Pathology (Anatomic Pathology & Clinical Pathology)
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (301) 609-4000
GRETCHEN ANN MACHESNEY NP
Nurse Practitioner (Acute Care)
5 GARRETT AVE
LA PLATA, MD 20646
Charles County (301) 609-5439
MRS. RACHEL P STEWART- JOHNSON CRNA
Nurse Anesthetist, Certified Registered
5 GARRETT AVE, POST OFFICE BOX 1070
LA PLATA, MD 20646
Charles County (301) 609-4285

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.

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 10 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.