LEWAM BERHE MD
NPI 1336778463
Hospitalist in Griffin, GA

Q: What is Lewam Berhe's NPI number?

The NPI number for Lewam Berhe is 1336778463. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Q: What is Lewam Berhe'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 Lewam Berhe was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment

601 S 8TH ST, GRIFFIN, GA 30224(770) 228-2721 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 10, 2023, Apr 1, 2020 (2 updates tracked since 2020).

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About Lewam Berhe Md NPPES

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

LEWAM BERHE MD (NPI 1336778463) is an individual hospitalist provider in Griffin, Georgia, licensed in Georgia (96246) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1336778463

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameLEWAM BERHECredential: MD

Location Address601 S 8TH STGriffin, GA 30224-4213

Mailing Address601 S 8th StGriffin, GA 30224-4213 · (770) 228-2721

Phone(770) 228-2721

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 1, 2020

Last NPPES UpdateNovember 10, 20232 updates tracked since enumeration

NPPES CertifiedNovember 10, 2023

✔ NPI 1336778463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in GA · 96246

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.

601 S 8TH ST, Griffin, GA 30224

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lewam Berhe Md 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 ID8123489788

PECOS Enrollment IDI20230728001235

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 Reassignment

Medicare enrollment records show Lewam Berhe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wellstar Medical Group, LLC

32 mi

Internal Medicine

3885 PRINCETON LAKES WAY SW, SUITE 300
Atlanta, GA 30331

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1205267192 (404) 344-0059

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.

419 services171 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.

146 services75 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.

116 services111 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.

76 services75 patients

Hospital Affiliations CMS Care Compare 2

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

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number110031

Location601 South 8th StreetGriffin, GA 30224 · Spalding County

Emergency services Birthing friendly

Wellstar Sylvan Grove Medical Center

Critical Access Hospitals · Jackson, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111319

Location1050 Mcdonough RoadJackson, GA 30233 · Butts County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30224 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

MISS COURTNEY RENEE STANLEY PA-C

Physician Assistant (Medical)