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BISRAT NIGUSSIE M.D.
NPI 1275060949
Internal Medicine - Cardiovascular Disease in Newark, NJ

Active since May 12, 2017PECOS EnrolledAccepts Medicare Assignment
201 LYONS AVE, NEWARK, NJ 07112(973) 926-7000 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 11, 2024, May 12, 2017 (2 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 Newark, New Jersey, licensed in New Jersey (25MA12432200) 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 is a graduate of Other (2016).

NPPES Registry Identity

NPI1275060949
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameBISRAT NIGUSSIECredential: M.D.
Location Address201 LYONS AVENewark, NJ 07112-2027
Mailing Address201 Lyons AveNewark, NJ 07112-2027
Phone(973) 926-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 12, 2017
Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ 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
License✔ 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.
201 LYONS AVE, Newark, NJ 07112
Open in Google Maps ↗

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 07112 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

DR. KEITH MICHAEL SPELLMAN M.D.
Radiology (Diagnostic Radiology)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7960
DR. LARISSA SOPHIA DUDLEY M.D.
Emergency Medicine
201 LYONS AVE, SUITE D11
NEWARK, NJ 07112
Essex County (973) 926-6671
WAQAS BARI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (800) 843-2384
ERIKA YESENIA PINEDA MD
Pediatrics (Pediatric Critical Care Medicine)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
CASEY YEONJOO CHO APN
Nurse Practitioner (Acute Care)
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-6938
KARLINA NGUYEN PA-C
Physician Assistant
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7000
DR. ALEXIS LORDI MD
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 900-4855
DIVYA-SHREE PATEL
Student in an Organized Health Care Education/Training Program
201 LYONS AVE
NEWARK, NJ 07112
Essex County (973) 926-7425

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 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7000.

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 November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.