HAILU DEMISSACHEW MD
NPI 1356401616
Internal Medicine - Nephrology in Rome, GA

Active since December 09, 2006PECOS EnrolledAccepts Medicare Assignment
77.45/100
CMS Quality Rating
19 REDMOND RD NW, ROME, GA 30165(706) 233-8504(706) 233-8505 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 23, 2020, Jan 30, 2019 (2 updates tracked since 2019).

About Hailu Demissachew Md NPPES

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

HAILU DEMISSACHEW MD (NPI 1356401616) is an individual nephrology provider in Rome, Georgia, licensed in Georgia (054072) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1356401616
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameHAILU DEMISSACHEWCredential: MD
Location Address19 REDMOND RD NWRome, GA 30165-1533
Mailing Address221 Technology Pkwy NwRome, GA 30165-1369 · (762) 235-1000
Fax(706) 233-8505
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateDecember 9, 2006
Last NPPES UpdateMarch 23, 20202 updates tracked since enumeration
NPPES CertifiedMarch 23, 2020
NPI 1356401616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in GA · 054072
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
19 REDMOND RD NW, Rome, GA 30165

Other Identifiers 8

Medicaid413486161BGA
Medicaid413486161HGA
Medicaid413486161FGA
Medicaid413486161AGA
Medicaid413486161EGA
Medicaid413486161GGA
Medicaid413486161CGA
Medicaid413486161DGA

Accepted Insurance

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

Hailu Demissachew 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 ID2264322411
PECOS Enrollment IDI20040319000423
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 30

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
786 services484 patients
Kidney function blood test panel 80069
A kidney function blood test panel checks how well your kidneys are working. It measures levels of various substances in your blood, including proteins, electrolytes, and waste products. The results can help detect potential kidney issues early.
764 services482 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
679 services477 patients
Manual urinalysis test with examination using microscope, automated 81001
A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.
649 services471 patients
Parathormone (parathyroid hormone) level 83970
The Parathormone level test measures the amount of parathyroid hormone in your blood. This hormone controls calcium and phosphorus levels in the body, which are vital for bone health. Abnormal levels may indicate issues like kidney disease or parathyroid gland disorders.
642 services470 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.
632 services192 patients

Hospital Affiliations CMS Care Compare 3

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

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110168
Location501 Redmond Road NWRome, GA 30165 · Floyd County

Atrium Health Floyd Polk Medical Center

Critical Access Hospitals · Cedartown, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number111330
Location2360 Rockmart HighwayCedartown, GA 30125 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 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.

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.

77.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.86
Promoting Interoperability100
Improvement Activities40
Cost63.96

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner
19 REDMOND RD NW
ROME, GA 30165
Internal Medicine (Nephrology)
19 REDMOND RD NW
ROME, GA 30165
Nurse Practitioner
19 REDMOND RD NW
ROME, GA 30165
Dietitian, Registered
19 REDMOND RD NW
ROME, GA 30165
Nurse Practitioner
19 REDMOND RD NW
ROME, GA 30165
Nurse Practitioner
19 REDMOND RD NW
ROME, GA 30165
Nurse Practitioner
19 REDMOND RD NW
ROME, GA 30165
Nurse Practitioner
19 REDMOND RD NW
ROME, GA 30165

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 Hailu Demissachew's NPI number?

The NPI number for Hailu Demissachew is 1356401616. It was assigned to this individual provider in the NPPES registry on December 9, 2006.

Where is Hailu Demissachew located?

Hailu Demissachew practices at 19 Redmond Rd NW, Rome, GA 30165. The listed phone number is (706) 233-8504.

What is Hailu Demissachew's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Hailu Demissachew enrolled in Medicare?

Yes. Hailu Demissachew 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.

What insurance does Hailu Demissachew accept?

Health plans from Alliant Health Plans, Inc. list Hailu Demissachew as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Hailu Demissachew affiliated with any hospitals?

According to CMS data, Hailu Demissachew is affiliated with Atrium Health Floyd Medical Center, Redmond Regional Medical Center and Atrium Health Floyd Polk Medical Center.

When was this NPI record last updated?

The NPPES record for Hailu Demissachew was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.