DR. ELIAS NIGUSSIE WOLDEGABRIEL M.D
NPI 1316252265
Internal Medicine - Infectious Disease in Urbana, IL

Active since August 16, 2010PECOS EnrolledAccepts Medicare Assignment
611 W PARK ST, INFECTIOUS DISEASE, URBANA, IL 61801(217) 383-1554(217) 383-1523 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Elias Nigussie Woldegabriel M.d NPPES

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

DR. ELIAS NIGUSSIE WOLDEGABRIEL M.D (NPI 1316252265) is an individual infectious disease provider in Urbana, Illinois, licensed in Illinois (036140939) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1316252265
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. ELIAS NIGUSSIE WOLDEGABRIELCredential: M.D
Location Address611 W PARK ST, INFECTIOUS DISEASEUrbana, IL 61801-2529
Mailing Address611 W Park St, BwpcUrbana, IL 61801-2529 · (217) 383-6941
Fax(217) 383-1523
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 16, 2010
Last NPPES UpdateSeptember 30, 2016
NPI 1316252265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in IL · 036140939 Licensed in VA · 0101254167
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
611 W PARK ST, Urbana, IL 61801

Other Identifiers 2

Medicare PINVVH899AVA
Medicaid1316252265VA

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

Dr. Elias Nigussie Woldegabriel 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 ID1658507330
PECOS Enrollment IDI20161007001697
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 8

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.
431 services168 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.
128 services122 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.
78 services44 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services46 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.
54 services53 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services38 patients

Hospital Affiliations CMS Care Compare

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Internal Medicine (Interventional Cardiology)
611 W PARK ST, HVI
URBANA, IL 61801
Urology
611 W PARK ST
URBANA, IL 61801
Family Medicine
611 W PARK ST
URBANA, IL 61801
Nurse Practitioner (Women's Health)
611 W PARK ST
URBANA, IL 61801
Surgery (Vascular Surgery)
611 W PARK ST
URBANA, IL 61801
Nurse Practitioner (Family)
611 W PARK ST
URBANA, IL 61801
Physical Therapist
611 W PARK ST
URBANA, IL 61801
Family Medicine
611 W PARK ST
URBANA, IL 61801

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 Elias Woldegabriel's NPI number?

The NPI number for Elias Woldegabriel is 1316252265. It was assigned to this individual provider in the NPPES registry on August 16, 2010.

Where is Elias Woldegabriel located?

Elias Woldegabriel practices at 611 W Park St Infectious Disease, Urbana, IL 61801. The listed phone number is (217) 383-1554.

What is Elias Woldegabriel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Elias Woldegabriel enrolled in Medicare?

Yes. Elias Woldegabriel 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 Elias Woldegabriel affiliated with any hospitals?

According to CMS data, Elias Woldegabriel is affiliated with Carle Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Elias Woldegabriel was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.