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GIRMAY TEWOLDEMEDHN ASGEDOM M.D , M.S.P.H
NPI 1699129213
Internal Medicine in Pittsburgh, PA

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
320 E NORTH AVE, PITTSBURGH, PA 15212(412) 359-3030(412) 359-3060 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2024, Oct 26, 2023, May 18, 2022 and 1 more (4 updates tracked since 2020).

About Girmay Tewoldemedhn Asgedom M.d , M.s.p.h NPPES

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

GIRMAY TEWOLDEMEDHN ASGEDOM M.D , M.S.P.H (NPI 1699129213) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD476180) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Sentara Williamsburg Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699129213
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGIRMAY TEWOLDEMEDHN ASGEDOMCredential: M.D , M.S.P.H
Location Address320 E NORTH AVEPittsburgh, PA 15212-4756
Mailing Address320 E North AvePittsburgh, PA 15212-4756 · (412) 359-3030 · Fax (412) 359-3060
Phone(412) 359-3030
Fax(412) 359-3060
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 20, 2016
Last NPPES UpdateAugust 9, 20244 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1699129213 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 PA · MD476180✔ Licensed in VA · 0101266754✔ Licensed in PA · FA0151263
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 0101266754 (VA)
320 E NORTH AVE, Pittsburgh, PA 15212
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Other Names 1

Professional Name (2)Girmay T Asgedom

Secondary Practice Locations 2

Location 1169 Martin AveEphrata, PA 17522-1724 · Phone (717) 721-4740
Location 2100 Sentara Cir Rm 2CWilliamsburg, VA 23188-5713 · Phone (757) 984-7217 · Fax (757) 984-7210

Accepted Insurance

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

Girmay Tewoldemedhn Asgedom M.d , M.s.p.h 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 ID345674982
PECOS Enrollment IDI20200107001814
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 5

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.
685 services305 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.
299 services287 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.
126 services126 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.
86 services48 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Sentara Williamsburg Regional Medical Center

Acute Care Hospitals · Williamsburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490066
Location100 Sentara CircleWilliamsburg, VA 23188 · James City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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
4 suppliers12 claims12 services$14.56 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 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
4 suppliers14 claims14 services$66.26 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. MATTHEW SCOTT HARTMAN M.D.
Radiology (Diagnostic Radiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-2459
DR. JOSEF TURNER M.D.
Emergency Medicine
320 E NORTH AVE, EMERGENCY MEDICINE RESIDENCY OFFICE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
DR. MATTHEW MICHAEL LANDER M.D.
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6500
DR. VINCENT SAMUEL CERETTO D.O
Emergency Medicine (Medical Toxicology)
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3030
MATTHEW LYONS CRNA
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-3155
MISS KRISTY LYNN BOWMAN RN
Nurse Anesthetist, Certified Registered
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-6581
ANNA MOSELEY VANATTA MD
Emergency Medicine
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4905
ADEE ELHAMDANI
Student in an Organized Health Care Education/Training Program
320 E NORTH AVE
PITTSBURGH, PA 15212
Allegheny County (412) 359-4971

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 Girmay Asgedom's NPI number?

The NPI number for Girmay Asgedom is 1699129213. It was assigned to this individual provider in the NPPES registry on April 20, 2016. The provider is also known as Girmay T Asgedom.

Where is Girmay Asgedom located?

Girmay Asgedom practices at 320 E North Ave, Pittsburgh, PA 15212. The listed phone number is (412) 359-3030.

What is Girmay Asgedom's specialty?

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

Is Girmay Asgedom enrolled in Medicare?

Yes. Girmay Asgedom 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 Girmay Asgedom accept?

Health plans from Oscar Insurance Company list Girmay Asgedom 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 Girmay Asgedom affiliated with any hospitals?

According to CMS data, Girmay Asgedom is affiliated with Sentara Williamsburg Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Girmay Asgedom was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.