Individual provider Active NPI

Tsegaye Daniel Gebregiorgis, M.D

  • Internal Medicine Physician
  • Williamsburg, VA
National Provider Identifier
1356731897
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101262026 Issued in VA
Practice address
100 Sentara Cir RM 2C
Williamsburg, VA 23188-5713
Phone
(757) 984-7217
Fax
(757) 984-7210
NPI assigned
Feb 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.131839 OH
Emergency Medicine Physician 207P00000X 35.131839 OH
Hospitalist Physician 208M00000X 0101262026 VA
Internal Medicine Physician 207R00000X 0101262026 VA Primary

Addresses

Primary practice location

100 Sentara Cir RM 2C
Williamsburg, VA 23188-5713

Mailing address

100 Sentara Cir RM 2C
Williamsburg, VA 23188-5713
Phone (757) 984-7217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170914001390 VA Practitioner - Internal MedicinePractitioner - Hospitalist 6507135209 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

100 Sentara Cir
Suite 2C
Williamsburg, VA 23188-5713
Phone (757) 984-7217

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Jun 21, 2017 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Jun 8, 2020 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients

Locations

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

100 Sentara Cir
Rm 2C
Williamsburg, VA 23188
Phone (757) 984-7217

100 Sentara Cir
Ste 2C
Williamsburg, VA 23188
Phone (757) 984-7217

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1356731897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SENTARA CIR RM 2C",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885713",
            "telephone_number": "757-984-7217",
            "fax_number": "757-984-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SENTARA CIR RM 2C",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885713",
            "telephone_number": "757-984-7217",
            "fax_number": "757-984-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBREGIORGIS",
        "first_name": "TSEGAYE",
        "middle_name": "DANIEL",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-04",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.131839",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.131839",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101262026",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101262026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.