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NEBIYU ABERA TILAHUN MD
NPI 1356800478
Hospitalist in Milwaukee, WI

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
AURORA SINAI MEDICAL CENTER, 945 N. 12TH STREET, MILWAUKEE, WI 53233(414) 219-7427(414) 219-6078 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2022, Mar 18, 2019 (2 updates tracked since 2019).

About Nebiyu Abera Tilahun Md NPPES

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

NEBIYU ABERA TILAHUN MD (NPI 1356800478) is an individual hospitalist provider in Milwaukee, Wisconsin, licensed in Wisconsin (75276) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1356800478
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameNEBIYU ABERA TILAHUNCredential: MD
Location AddressAURORA SINAI MEDICAL CENTER, 945 N. 12TH STREETMilwaukee, WI 53233
Mailing AddressAurora Sinai Medical Center, 945 N. 12th StreetMilwaukee, WI 53233 · (414) 219-7427 · Fax (414) 219-6078
Phone(414) 219-7427
Fax(414) 219-6078
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 18, 2019
Last NPPES UpdateDecember 21, 20232 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
✔ NPI 1356800478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in WI · 75276
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 75276-20 (WI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
AURORA SINAI MEDICAL CENTER, 945 N. 12TH STREET, Milwaukee, WI 53233
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Other Identifiers 1

Medicaid100202315WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan.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

Nebiyu Abera Tilahun 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 ID5698154144
PECOS Enrollment IDI20220614001663
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

4

Medicare enrollment records show Nebiyu Tilahun reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Columbia St. Mary's Hospital Milwaukee Inc
2.8 mi
Multi-Specialty
2323 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
NPI 1225071491 (414) 585-1000
Ascension Medical Group-Southeast Wisconsin Inc
2.8 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000
Froedtert Manitowoc Medical Group, LLC
74 mi
Multi-Specialty
2300 WESTERN AVE
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 350 clinicians in this Medicare group
NPI 1437829975 (920) 320-2436
Ascension Medical Group-Fox Valley Wisconsin, Inc
84 mi
Multi-Specialty
101 MAIN ST
Neenah, WI 54956
  • Reassigned Medicare billing, Wisconsin enrollment
  • 444 clinicians in this Medicare group
NPI 1730126392 (920) 727-4200

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 6

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.

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.
175 services172 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.
96 services62 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
74 services32 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.
58 services38 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.
57 services56 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Bay Area Medical Center

Acute Care Hospitals · Marinette, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520113
Location3003 University DrMarinette, WI 54143 · Marinette County
Emergency services Birthing friendly

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Nebiyu Tilahun's NPI number?

The NPI number for Nebiyu Tilahun is 1356800478. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Nebiyu Tilahun located?

Nebiyu Tilahun practices at Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233. The listed phone number is (414) 219-7427.

What is Nebiyu Tilahun's specialty?

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

Is Nebiyu Tilahun enrolled in Medicare?

Yes. Nebiyu Tilahun 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.

Which organizations bill Medicare for Nebiyu Tilahun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nebiyu Tilahun reassigns Medicare benefits to 4 organizations: Columbia St. Mary's Hospital Milwaukee Inc (Milwaukee, WI), Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI), Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI) and Ascension Medical Group-Fox Valley Wisconsin, Inc (Neenah, WI). 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 Nebiyu Tilahun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nebiyu Tilahun accept?

Health plans from Anthem Blue Cross and Blue Shield and Aspirus Health Plan list Nebiyu Tilahun 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 Nebiyu Tilahun affiliated with any hospitals?

According to CMS data, Nebiyu Tilahun is affiliated with Aurora Health Care Central Inc, Ascension Columbia St Mary's Hospital Milwaukee, Ascension All Saints Hospital, Bay Area Medical Center and Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for Nebiyu Tilahun was last updated on December 21, 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.