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DEREJE HAILEMARIAM HABITEMICHAEL MD
NPI 1548780315
Internal Medicine in Salisbury, MD

Active since June 22, 2017PECOS EnrolledAccepts Medicare Assignment
79.47/100
CMS Quality Rating
100 E CARROLL ST, SALISBURY, MD 21801(410) 546-6400 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, Jun 23, 2025, Dec 30, 2024 and 4 more (7 updates tracked since 2017).

About Dereje Hailemariam Habitemichael Md NPPES

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

DEREJE HAILEMARIAM HABITEMICHAEL MD (NPI 1548780315) is an individual internal medicine provider in Salisbury, Maryland, licensed in Maryland (D0089718) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with St Claire Regional Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1548780315
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDEREJE HAILEMARIAM HABITEMICHAELCredential: MD
Location Address100 E CARROLL STSalisbury, MD 21801-5422
Mailing Address100 E Carroll StSalisbury, MD 21801-5422 · (410) 546-6400
Phone(410) 546-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 22, 2017
Last NPPES UpdateDecember 16, 20257 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1548780315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in MD · D0089718✔ Licensed in KY · C2393
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 0101275485 (VA), 340963 (LA)
100 E CARROLL ST, Salisbury, MD 21801
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1900 S Caton AveBaltimore, MD 21229-5201 · Phone (667) 234-3120 · Fax (667) 234-3525
Location 25000 Hennessy BlvdBaton Rouge, LA 70808-4375 · Phone (225) 765-4050 · Fax (225) 621-2975
Location 3222 Medical CirMorehead, KY 40351-1179 · Phone (606) 783-6500
Location 41755 N Mecklenburg AveSouth Hill, VA 23970-4080 · Phone (434) 447-3151 · Fax (434) 584-5023
Location 5309 Jackson StMonroe, LA 71201-7407 · Phone (318) 966-4541 · Fax (318) 966-4543

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, CareSource, HMO Louisiana and more.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

Dereje Hailemariam Habitemichael 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 ID8820368194
PECOS Enrollment IDI20201111001362, I20231019003817, I20240528002599, I20240614002605
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 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.

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.
558 services246 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.
294 services121 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.
111 services110 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.
50 services50 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.
19 services19 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St Claire Regional Medical Center

Acute Care Hospitals · Morehead, KY
3/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number180018
Location222 Medical CircleMorehead, KY 40351 · Rowan County
Emergency services Birthing friendly

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210037
Location219 South Washington StreetEaston, MD 21601 · Talbot County
Emergency services

Umd Rehabilitation & Orthopaedic Institute

Acute Care Hospitals · Baltimore, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210058
Location2200 Kernan DriveBaltimore, MD 21207 · Baltimore County

Lewisgale Medical Center

Acute Care Hospitals · Salem, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490048
Location1900 Electric RoadSalem, VA 24153 · Salem City County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21801 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

79.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.23
Promoting Interoperability92
Improvement Activities40
Cost60

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
6 suppliers12 claims12 services$49.08 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers11 claims11 services$19.61 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. DANIEL DEMETRIOS COLLECTOR MD
Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 546-6400
TIDALHEALTH SPECIALTY CARE
Pediatrics (Neonatal-Perinatal Medicine)
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7749
ALEX L MAH MD
Anesthesiology
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7375
MICHELLE H GRBIC MS CCC-SLP
Speech-Language Pathologist
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 546-6400
DR. SAVANNAH FINLEY DO
Student in an Organized Health Care Education/Training Program
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 546-6400
BRENDA MARTIN CRNP
Nurse Practitioner
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7531
CHARLES B SILVIA JR. MD
Internal Medicine
100 E CARROLL ST, INPATIENT SERVICES
SALISBURY, MD 21801
Wicomico County (410) 543-7536
WILLIAM C TODD MD
Emergency Medicine
100 E CARROLL ST
SALISBURY, MD 21801
Wicomico County (410) 543-7100

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 Dereje Habitemichael's NPI number?

The NPI number for Dereje Habitemichael is 1548780315. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Dereje Habitemichael located?

Dereje Habitemichael practices at 100 E Carroll St, Salisbury, MD 21801. The listed phone number is (410) 546-6400.

What is Dereje Habitemichael's specialty?

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

Is Dereje Habitemichael enrolled in Medicare?

Yes. Dereje Habitemichael 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 Dereje Habitemichael accept?

Health plans from AmeriHealth Caritas Next, CareSource, HMO Louisiana and Oscar Insurance Company list Dereje Habitemichael 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 Dereje Habitemichael affiliated with any hospitals?

According to CMS data, Dereje Habitemichael is affiliated with St Claire Regional Medical Center, Our Lady Of The Lake Regional Medical Center, University Of MD Shore Medical Center At Easton, Umd Rehabilitation & Orthopaedic Institute and Lewisgale Medical Center.

When was this NPI record last updated?

The NPPES record for Dereje Habitemichael was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.