NPIMap

Individual provider Active NPI

Nebiyu Abera Tilahun, MD

  • Hospitalist Physician
  • Milwaukee, WI
National Provider Identifier
1356800478
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
75276 Issued in WI
Practice address
Aurora Sinai Medical Center, 945 N. 12TH Street
Milwaukee, WI 53233
Phone
(414) 219-7427
Fax
(414) 219-6078
NPI assigned
Mar 18, 2019
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 75276-20 WI
Student in an Organized Health Care Education/Training Program 390200000X
Hospitalist Physician 208M00000X 75276 WI Primary

Addresses

Primary practice location

Aurora Sinai Medical Center, 945 N. 12TH Street
Milwaukee, WI 53233

Mailing address

Aurora Sinai Medical Center, 945 N. 12TH Street
Milwaukee, WI 53233
Phone (414) 219-7427

Other identifiers 1

IdentifierTypeStateIssuer
100202315MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20220614001663 WI Practitioner - General PracticePractitioner - Hospitalist 5698154144 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1506 S Oneida St
Appleton, WI 54915-1305
Phone (920) 738-2000

2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000

3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75276WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Apr 8, 2024 Accepting new patients
Baycare Aurora, LLC Hospitalist CurrentSince Aug 8, 2023 Accepting new patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Apr 8, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Apr 16, 2024 Accepting new patients
Froedtert Manitowoc Medical Group, LLC Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Jan 23, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Apr 16, 2024 Accepting new patients

Locations

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

2253 W Mason St
Green Bay, WI 54303
Phone (920) 327-7000

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011

500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Interoperability endpoints

  • Direct secure messaging: ntilahun228037@direct.myadvocateaurora.org

Organizations & group practices 8

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 8

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1356800478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AURORA SINAI MEDICAL CENTER, 945 N. 12TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53233",
            "telephone_number": "414-219-7427",
            "fax_number": "414-219-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AURORA SINAI MEDICAL CENTER, 945 N. 12TH STREET",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53233",
            "telephone_number": "414-219-7427",
            "fax_number": "414-219-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILAHUN",
        "first_name": "NEBIYU",
        "middle_name": "ABERA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "75276-20",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "75276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100202315",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.