MULUGETA GEBREMEDHIN MD
NPI 1427146117
Internal Medicine in Virginia Beach, VA

Q: What is Mulugeta Gebremedhin's NPI number?

The NPI number for Mulugeta Gebremedhin is 1427146117. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Mulugeta Gebremedhin's specialty?

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

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment

95.11/100

CMS Quality Rating

1060 FIRST COLONIAL RD, VIRGINIA BEACH, VA 23454(757) 395-2323(757) 395-6280 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Jul 28, 2020 (2 updates tracked since 2020).

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About Mulugeta Gebremedhin Md NPPES

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

MULUGETA GEBREMEDHIN MD (NPI 1427146117) is an individual internal medicine provider in Virginia Beach, Virginia, licensed in Virginia (0101240188) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with The Outer Banks Hospital, Inc, and maintains a secondary practice location in High Point.

NPPES Registry Identity

NPI1427146117

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMULUGETA GEBREMEDHINCredential: MD

Location Address1060 FIRST COLONIAL RDVirginia Beach, VA 23454-3002

Mailing Address1060 First Colonial RdVirginia Beach, VA 23454-3002 · (757) 395-2323 · Fax (757) 395-6280

Phone(757) 395-2323

Fax(757) 395-6280

Sole ProprietorYes

Medical School CMSOtherGraduated 1994

Enumeration DateOctober 10, 2006

Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration

NPPES CertifiedAugust 19, 2024

✔ NPI 1427146117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0101240188

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.

Also ListedHospitalistTaxonomy 208M00000X · License 0101240188 (VA)

1060 FIRST COLONIAL RD, Virginia Beach, VA 23454

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Secondary Practice Location 1

Location 1601 N Elm StHigh Point, NC 27262-4331 · Phone (336) 878-6419 · Fax (336) 878-6420

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

Mulugeta Gebremedhin 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 ID2567463383

PECOS Enrollment IDI20080306000234

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 7

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.

435 services187 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.

163 services87 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.

161 services154 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.

104 services100 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

16 services15 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.

15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

The Outer Banks Hospital, Inc

Critical Access Hospitals · Nags Head, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number341324

Location4800 South Croatan HighwayNags Head, NC 27959 · Dare County

Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490046

Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County

Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490057

Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County

Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490119

Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23454 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

95.11/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.31

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$86.68 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. ALEXANDER JOSEPH SATOSKI MD

Internal Medicine