1. Home
  2. Directory
  3. Maryland
  4. Bowie
  5. Internal Medicine
  6. NPI Profile

HEIWOT D TILAHUNE
NPI 1396474102
Internal Medicine in Bowie, MD

Active since June 07, 2022PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
10628 HEATHER GLEN WAY, BOWIE, MD 20720(301) 520-6689 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heiwot D Tilahune NPPES

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

HEIWOT D TILAHUNE (NPI 1396474102) is an individual internal medicine provider in Bowie, Maryland, licensed in District Of Columbia (NP1012262) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1396474102
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHEIWOT D TILAHUNE
Location Address10628 HEATHER GLEN WAYBowie, MD 20720-4297
Mailing Address110 Irving St NwWashington, DC 20010-3017 · (202) 877-2171
Phone(301) 520-6689
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 7, 2022
NPPES CertifiedApril 30, 2022
✔ NPI 1396474102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DC · NP1012262
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10628 HEATHER GLEN WAY, Bowie, MD 20720
Open in Google Maps ↗

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

Heiwot D Tilahune 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 ID4082090121
PECOS Enrollment IDI20220927003656, I20251201000614
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.

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

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 Heiwot Tilahune's NPI number?

The NPI number for Heiwot Tilahune is 1396474102. It was assigned to this individual provider in the NPPES registry on June 7, 2022.

Where is Heiwot Tilahune located?

Heiwot Tilahune practices at 10628 Heather Glen Way, Bowie, MD 20720. The listed phone number is (301) 520-6689.

What is Heiwot Tilahune's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Heiwot Tilahune enrolled in Medicare?

Yes. Heiwot Tilahune 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.

When was this NPI record last updated?

The NPPES record for Heiwot Tilahune was last updated on June 7, 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.