DR. HABTAMU DABA GIDUMA M.D.
NPI 1316235906
Hospitalist in Richmond, VA

Q: What is Habtamu Giduma's NPI number?

The NPI number for Habtamu Giduma is 1316235906. It was assigned to this individual provider in the NPPES registry on July 16, 2011.

Q: What is Habtamu Giduma's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Habtamu Giduma was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 16, 2011PECOS Enrolled

56.06/100

CMS Quality Rating

1201 BROAD ROCK BLVD, RICHMOND, VA 23249(804) 675-5000 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2025, Jul 24, 2023 (2 updates tracked since 2023).

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About Dr. Habtamu Daba Giduma M.d. NPPES

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

DR. HABTAMU DABA GIDUMA M.D. (NPI 1316235906) is an individual hospitalist provider in Richmond, Virginia, licensed in Virginia (0101260070) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1316235906

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. HABTAMU DABA GIDUMACredential: M.D.

Location Address1201 BROAD ROCK BLVDRichmond, VA 23249-0001

Mailing Address1201 Broad Rock BlvdRichmond, VA 23249-0001 · (804) 675-5000

Phone(804) 675-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 16, 2011

Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1316235906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in VA · 0101260070

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 201401636 (NC), 0101260070 (VA)

1201 BROAD ROCK BLVD, Richmond, VA 23249

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Habtamu Daba Giduma M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123240058

PECOS Enrollment IDI20170922001455

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

Medicare enrollment records show Habtamu Giduma reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vituity-Virginia Hospitalists PC

6.4 mi

Hospitalist

5801 BREMO RD
Richmond, VA 23226

Reassigned Medicare billing, Virginia enrollment
172 clinicians in this Medicare group

NPI 1518611011 (804) 285-2011

Hospitalist Medicine Physicians Of Virginia - Richmond, LLC

6.4 mi

Internal Medicine

5801 BREMO RD
Richmond, VA 23226

Reassigned Medicare billing, Virginia enrollment
104 clinicians in this Medicare group

NPI 1699311324 (804) 285-2011

Hospitalist Medicine Physicians Of Fredericksburg, LLC

56 mi

Internal Medicine

1001 SAM PERRY BLVD
Fredericksburg, VA 22401

Reassigned Medicare billing, Virginia enrollment
258 clinicians in this Medicare group

NPI 1447577572 (330) 493-4443

Clark Alliance Services Inc

88 mi

Internal Medicine

2501 PARKERS LN FL 4
Alexandria, VA 22306

Reassigned Medicare billing, Virginia enrollment
52 clinicians in this Medicare group

NPI 1952892028 (703) 664-7000

Hospitalist Medicine Physicians Of Virginia LLC

123 mi

Internal Medicine

1840 AMHERST ST
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
371 clinicians in this Medicare group

NPI 1770756991 (540) 536-4334

Southeastern Intensivist Services PC

727 mi

Hospitalist

2100 N 7TH ST
West Memphis, AR 72301

Reassigned Medicare billing, Virginia enrollment
528 clinicians in this Medicare group

NPI 1912942665 (870) 733-3020

Vibra Physicians LLC

1,489 mi

Hospitalist

4401 UNION ST
Johnstown, CO 80534

Reassigned Medicare billing, Virginia enrollment
88 clinicians in this Medicare group

NPI 1659705424 (970) 278-9340

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 4

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 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.

279 services107 patients

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.

144 services65 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.

18 services18 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.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23249 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

56.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

26.71

Improvement Activities

Cost

76.15

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

74%124 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MISS MYLADY TIRADO P.T.A

Physical Therapy Assistant

1201 BROAD ROCK BLVD
RICHMOND, VA 23249

Richmond City (804) 675-6588

DR. KATHERINE LEIVY PSYD

Psychologist (Clinical)

1201 BROAD ROCK BLVD
RICHMOND, VA 23249

Richmond City (804) 675-5000

MR. MICHAEL N MARTIN FNP-BC

Nurse Practitioner (Primary Care)

1201 BROAD ROCK BLVD
RICHMOND, VA 23249

Richmond City (804) 675-5000

DR. PAUL WEISZ-CARRINGTON MD

Pathology (Anatomic Pathology & Clinical Pathology)

1201 BROAD ROCK BLVD, 113
RICHMOND, VA 23249

Richmond City (804) 794-9396

MRS. KIMBERLY JO POWELL OTR/L

Occupational Therapist

1201 BROAD ROCK BLVD
RICHMOND, VA 23249

Richmond City (804) 675-5000

MRS. PEGGY CHARLENE CARL

Pharmacist

1201 BROAD ROCK BLVD
RICHMOND, VA 23249

Richmond City (804) 675-5000

MISS STEPHANIE JEANNE SHERMAN REGISTERED DIETITIAN

Dietitian, Registered

1201 BROAD ROCK BLVD, VA MEDICAL CENTER
RICHMOND, VA 23249

Richmond City (804) 675-5000

DR. LAUREL HACKETT PT

Physical Therapist

1201 BROAD ROCK BLVD
RICHMOND, VA 23249

Richmond City (804) 675-5000

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 Habtamu Giduma's NPI number?

The NPI number for Habtamu Giduma is 1316235906. It was assigned to this individual provider in the NPPES registry on July 16, 2011.

Where is Habtamu Giduma located?

Habtamu Giduma practices at 1201 Broad Rock Blvd, Richmond, VA 23249. The listed phone number is (804) 675-5000.

What is Habtamu Giduma's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Habtamu Giduma enrolled in Medicare?

Yes. Habtamu Giduma is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Habtamu Giduma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Habtamu Giduma reassigns Medicare benefits to 7 organizations: Vituity-Virginia Hospitalists PC (Richmond, VA), Hospitalist Medicine Physicians Of Virginia - Richmond, LLC (Richmond, VA), Hospitalist Medicine Physicians Of Fredericksburg, LLC (Fredericksburg, VA), Clark Alliance Services Inc (Alexandria, VA), Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA) and 2 more organizations, listed in the Medicare section above. 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 Habtamu Giduma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Habtamu Giduma was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.