NEGA BIZUNEH GEBREMARIAM MD
NPI 1730476896
Hospitalist in Atlanta, GA

Active since July 08, 2011PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
303 PARKWAY DR NE, ATLANTA, GA 30312(301) 281-3131 Get Directions Write a Review

NPPES record last updated: February 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nega Bizuneh Gebremariam Md NPPES

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

NEGA BIZUNEH GEBREMARIAM MD (NPI 1730476896) is an individual hospitalist provider in Atlanta, Georgia, licensed in Georgia (071701) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Wellstar Kennestone Regional Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1730476896
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameNEGA BIZUNEH GEBREMARIAMCredential: MD
Location Address303 PARKWAY DR NEAtlanta, GA 30312-1212
Mailing Address303 Parkway Dr NeAtlanta, GA 30312-1212 · (301) 281-3131
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 8, 2011
Last NPPES UpdateFebruary 20, 2019
NPI 1730476896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 071701
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5056 (GA), 071701 (GA)
303 PARKWAY DR NE, Atlanta, GA 30312

Accepted 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

Nega Bizuneh Gebremariam 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 ID6002045333
PECOS Enrollment IDI20141222001626
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 4

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.
510 services211 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.
325 services193 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.
139 services139 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.
29 services29 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30312 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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

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
1 supplier31 claims31 services$15.12 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
1 supplier46 claims46 services$66.09 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$31.57 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.

Pathology (Anatomic Pathology & Clinical Pathology)
303 PARKWAY DR NE
ATLANTA, GA 30312
Student in an Organized Health Care Education/Training Program
303 PARKWAY DR NE
ATLANTA, GA 30312
Internal Medicine
303 PARKWAY DR NE, GME-INTERNAL MEDICINE
ATLANTA, GA 30312
Internal Medicine
303 PARKWAY DR NE
ATLANTA, GA 30312
Physician Assistant
303 PARKWAY DR NE, ER DEPT
ATLANTA, GA 30312
Emergency Medicine
303 PARKWAY DR NE
ATLANTA, GA 30312
Anesthesiologist Assistant
303 PARKWAY DR NE, PMB 404
ATLANTA, GA 30312
Student in an Organized Health Care Education/Training Program
303 PARKWAY DR NE
ATLANTA, GA 30312

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 Nega Gebremariam's NPI number?

The NPI number for Nega Gebremariam is 1730476896. It was assigned to this individual provider in the NPPES registry on July 8, 2011.

Where is Nega Gebremariam located?

Nega Gebremariam practices at 303 Parkway Dr NE, Atlanta, GA 30312. The listed phone number is (301) 281-3131.

What is Nega Gebremariam's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nega Gebremariam enrolled in Medicare?

Yes. Nega Gebremariam 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 Nega Gebremariam accept?

Health plans from Alliant Health Plans, Inc. list Nega Gebremariam 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 Nega Gebremariam affiliated with any hospitals?

According to CMS data, Nega Gebremariam is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nega Gebremariam was last updated on February 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.