TILAHUN WORKU BELAY MD
NPI 1902199250
Internal Medicine in Wichita Falls, TX

Q: What is Tilahun Belay's NPI number?

The NPI number for Tilahun Belay is 1902199250. It was assigned to this individual provider in the NPPES registry on May 19, 2011.

Q: What is Tilahun Belay'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 Tilahun Belay was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 19, 2011PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

1631 11TH ST UNIT B, WICHITA FALLS, TX 76301(940) 263-3000(940) 263-3018 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Jul 10, 2019, Dec 10, 2018 and 1 more (4 updates tracked since 2016).

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About Tilahun Worku Belay Md NPPES

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

TILAHUN WORKU BELAY MD (NPI 1902199250) is an individual internal medicine provider in Wichita Falls, Texas, licensed in Texas (P9519) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Paris Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902199250

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameTILAHUN WORKU BELAYCredential: MD

Location Address1631 11TH ST UNIT BWichita Falls, TX 76301

Mailing AddressPo Box 840026Dallas, TX 75284-0026 · (806) 212-6965 · Fax (806) 212-6278

Phone(940) 263-3000

Fax(940) 263-3018

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateMay 19, 2011

Last NPPES UpdateApril 14, 20264 updates tracked since enumeration

NPPES CertifiedApril 14, 2026

✔ NPI 1902199250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · P9519

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.

1631 11TH ST UNIT B, Wichita Falls, TX 76301

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Secondary Practice Locations 2

Location 11631 11th St Unit BWichita Falls, TX 76301 · Phone (940) 263-3000 · Fax (940) 263-3018

Location 2800 E Dawson StTyler, TX 75701-2036 · Phone (903) 510-1186 · Fax (903) 525-1254

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, 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

Tilahun Worku Belay 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 ID8325287865

PECOS Enrollment IDI20140825002242

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.

688 services254 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.

389 services176 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.

168 services167 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.

154 services147 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.

80 services79 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Paris Regional Medical Center

Acute Care Hospitals · Paris, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450196

Location865 Deshong DrParis, TX 75460 · Lamar County

Emergency services Birthing friendly

Northwest Texas Hospital

Acute Care Hospitals · Amarillo, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450209

Location1501 S Coulter StAmarillo, TX 79106 · Potter County

Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450651

Location3901 W 15th StPlano, TX 75075 · Collin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76301 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

97.58/100

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

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

99%269 patients4/55-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

5 suppliers55 claims56 services$17.40 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

7 suppliers75 claims76 services$89.69 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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEJAL SHAH MD

Internal Medicine