ANTENEH GIZAW M.D.
NPI 1699114660
Internal Medicine in Lawrenceville, GA

Q: What is Anteneh Gizaw's NPI number?

The NPI number for Anteneh Gizaw is 1699114660. It was assigned to this individual provider in the NPPES registry on June 22, 2013.

Q: What is Anteneh Gizaw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Anteneh Gizaw was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since June 22, 2013PECOS EnrolledAccepts Medicare Assignment

98.31/100

CMS Quality Rating

1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-3273(678) 312-3282 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2025, Feb 22, 2022, Dec 30, 2016 (3 updates tracked since 2016).

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About Anteneh Gizaw M.d. NPPES

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

ANTENEH GIZAW M.D. (NPI 1699114660) is an individual internal medicine provider in Lawrenceville, Georgia, licensed in Georgia (076042) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1699114660

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameANTENEH GIZAWCredential: M.D.

Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694

Mailing Address1000 Medical Center BlvdLawrenceville, GA 30046-7694 · (678) 312-3273 · Fax (678) 312-3282

Phone(678) 312-3273

Fax(678) 312-3282

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateJune 22, 2013

Last NPPES UpdateSeptember 12, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2025

✔ NPI 1699114660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 076042

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.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.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

Anteneh Gizaw M.d. 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 ID4183916265

PECOS Enrollment IDI20160711001052

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

Medicare enrollment records show Anteneh Gizaw reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Apogee Medical Group Georgia Inc

Internal Medicine

705 DIXIE ST
Carrollton, GA 30117

Reassigned Medicare billing, Georgia enrollment
335 clinicians in this Medicare group

NPI 1629025143 (770) 836-9667

Cogent Healthcare Of Georgia PC

Internal Medicine

400 CHARTER BLVD
Macon, GA 31210

Reassigned Medicare billing, Georgia enrollment
635 clinicians in this Medicare group

NPI 1609827823 (478) 757-8200

Georgia Hospitalists Group, LLC

Hospitalist

11 UPPER RIVERDALE RD SW
Riverdale, GA 30274

Reassigned Medicare billing, Georgia enrollment
160 clinicians in this Medicare group

NPI 1033576376 (770) 991-8000

Hospital Physician Services - Southeast Professional Corporation

Hospitalist

2151 W SPRING ST
Monroe, GA 30655

Reassigned Medicare billing, Georgia enrollment
777 clinicians in this Medicare group

NPI 1760410385 (770) 267-8461

North Atlanta Professional Services LLC

Psychologist

1000 JOHNSON FERRY RD NE
Atlanta, GA 30342

Reassigned Medicare billing, Georgia enrollment
783 clinicians in this Medicare group

NPI 1316959869 (855) 709-4535

Southern Regional Physicians Management Group, LLC

Surgery

11 UPPER RIVERDALE RD SW
Riverdale, GA 30274

Reassigned Medicare billing, Georgia enrollment
111 clinicians in this Medicare group

NPI 1043677271 (770) 991-8000

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 3

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.

401 services165 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.

82 services81 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.

53 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110087

Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County

Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110252

Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

98.31/100

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

Scored as part of a group practice

Quality

97.88

Improvement Activities

Cost

84.56

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

3%68 patients1/55-star benchmark: 85%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 45 patients

16%45 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier18 claims18 services$13.59 avg. paid by Medicare

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

2 suppliers24 claims25 services$59.03 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. ROBERT E BLACK III MD

Anesthesiology