NPIMap

Individual provider Active NPI

Mulugeta Tarekegne, M.D.

  • Internal Medicine Physician
  • Columbia, SC
National Provider Identifier
1336105535
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21648 Issued in SC
Practice address
2719 Middleburg Dr
Suite 201
Columbia, SC 29204-2414
Phone
(803) 256-6828
Fax
(803) 256-6827
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21648 SC Primary
Hospitalist Physician 208M00000X 21648 SC

Addresses

Primary practice location

2719 Middleburg Dr
Suite 201
Columbia, SC 29204-2414

Mailing address

2719 Middleburg Dr
Suite 201
Columbia, SC 29204-2414
Phone (803) 256-6828

Other practice location 1

129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-9680

Other identifiers 2

IdentifierTypeStateIssuer
216484MedicaidSC
GP3800OtherSCGROUP MCAID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040204000103 SC Practitioner - Internal Medicine 7618860768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians

Practice addresses (Care Compare)

1053 Ctr St
West Columbia, SC 29169-6749
Phone (800) 491-0909

129 N Washington St
Sumter, SC 29150-4949
Phone (803) 774-9680

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21648SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Oct 17, 2023 Accepting new patients
Prisma Health Medical Group-Midlands Hospitalist Current Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jan 8, 2018 Accepting new patients
Prisma Health Medical Group-Midlands Internal Medicine CurrentSince Jan 8, 2018 Accepting new patients
SC House Calls Inc CurrentSince Oct 17, 2023 Accepting new patients
Internal Medicine Associates of Columbia, PA Internal Medicine PastSince Feb 4, 2004 Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Intermedical Hospital of South Carolina Inc Past Accepting new patients
Augustine Health Hospitalists, LLC Hospitalist Past Accepting new patients
Prisma Health-Midlands Past Accepting new patients
Eau Claire Cooperative Health Center, Inc Past Accepting new patients

Locations

Taylor At Marion St
Columbia, SC 29220
Phone (803) 296-3097

3010 Farrow Rd
Ste 220
Columbia, SC 29203
Phone (803) 799-1264

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

14 Richland Medical Park Dr
Ste 320
Columbia, SC 29203
Phone (803) 434-1663

111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910

115 N Sumter St
Ste 400
Sumter, SC 29150
Phone (803) 774-7425

129 N Washington St
Sumter, SC 29150
Phone (803) 774-1752

115 N Sumter St
Ste 110
Sumter, SC 29150
Phone (803) 774-5249

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Interoperability endpoints

  • Direct secure messaging: mtarekegne385084@direct.ghs.myhfn.org
  • FHIR API: https://api.platform.athenahealth.com/10781/brand/1/csg/1/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1336105535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 MIDDLEBURG DR",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042414",
            "telephone_number": "803-256-6828",
            "fax_number": "803-256-6827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 MIDDLEBURG DR",
            "address_2": "SUITE 201",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042414",
            "telephone_number": "803-256-6828",
            "fax_number": "803-256-6827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Sumter",
            "state": "SC",
            "postal_code": "291504949",
            "country_code": "US",
            "telephone_number": "803-774-9680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAREKEGNE",
        "first_name": "MULUGETA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "21648",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "SC",
            "license": "21648",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216484",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MCAID NUMBER",
            "identifier": "GP3800",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.