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DR. GEDION ATNAFU M.D.
NPI 1326006578
Internal Medicine - Infectious Disease in Bowie, MD

Active since May 03, 2006PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
12701 TRUTHS PROMISE CT, BOWIE, MD 20720(410) 650-4100(877) 648-1188 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2022, Sep 21, 2016 (2 updates tracked since 2016).

About Dr. Gedion Atnafu M.d. NPPES

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

DR. GEDION ATNAFU M.D. (NPI 1326006578) is an individual infectious disease provider in Bowie, Maryland, licensed in Maryland (D62148) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Medstar Southern Maryland Hospital Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1326006578
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. GEDION ATNAFUCredential: M.D.
Location Address12701 TRUTHS PROMISE CTBowie, MD 20720-5600
Mailing Address7845 Oakwood Rd, Ste 105Glen Burnie, MD 21061-4256 · (410) 650-4100 · Fax (877) 648-1188
Phone(410) 650-4100
Fax(877) 648-1188
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 3, 2006
Last NPPES UpdateMay 10, 20222 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
✔ NPI 1326006578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in MD · D62148✔ Licensed in MD · D0062148
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.
Also ListedHospitalistTaxonomy 208M00000X · License D62148 (MD)
12701 TRUTHS PROMISE CT, Bowie, MD 20720
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Other Identifiers 2

Medicaid408456000MD
Other647076-01MD · Blue Cross/blue Shield

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. Gedion Atnafu 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 ID1850326935
PECOS Enrollment IDI20050927001498, I20210309003287
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 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 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.
661 services266 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.
279 services259 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.
47 services30 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.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20720 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL ADERA
Physician Assistant (Medical)
12701 TRUTHS PROMISE CT
BOWIE, MD 20720
Prince George's County (443) 388-7168

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 Gedion Atnafu's NPI number?

The NPI number for Gedion Atnafu is 1326006578. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Gedion Atnafu located?

Gedion Atnafu practices at 12701 Truths Promise Ct, Bowie, MD 20720. The listed phone number is (410) 650-4100.

What is Gedion Atnafu's specialty?

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

Is Gedion Atnafu enrolled in Medicare?

Yes. Gedion Atnafu 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 Gedion Atnafu affiliated with any hospitals?

According to CMS data, Gedion Atnafu is affiliated with Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Gedion Atnafu was last updated on May 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.