HEIWOT D TILAHUNE
NPI 1396474102
Internal Medicine in Bowie, MD
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Heiwot Tilahune reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1376887844 (Maryland)
- 3,530 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Heiwot Tilahune's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heiwot Tilahune reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). The 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 Heiwot Tilahune's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Heiwot D Tilahune · NPI 1396474102
Internal Medicine physician in Bowie, Maryland. Individual provider, active in the CMS NPPES registry since June 7, 2022.
## Identity
- **NPI:** 1396474102 (Entity type: Individual)
- **Enumerated:** June 7, 2022
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** NP1012262 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 10628 HEATHER GLEN WAY, Bowie, MD 20720-4297
- **Phone:** (301) 520-6689
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Medstar Medical Group II LLC (NPI 1023836137, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1396474102) · Data from the CMS NPPES public registry.