Individual provider Active NPI

Tigist Gemechu, MD

  • Internal Medicine Physician
  • Staten Island, NY
National Provider Identifier
1518469782
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
T3282 Issued in TX
Practice address
355 Bard Ave Dept of
Staten Island, NY 10310-1664
Phone
(718) 818-2419
NPI assigned
Mar 5, 2018
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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 T3282 TX Primary
Internal Medicine Physician 207R00000X 207R0000X NY
Internal Medicine Physician 207R00000X 93118 SC
Hospitalist Physician 208M00000X 81229 WI

Addresses

Primary practice location

355 Bard Ave Dept of
Staten Island, NY 10310-1664

Mailing address

355 Bard Ave Dept of
Staten Island, NY 10310-1664
Phone (718) 818-2419

Other practice location 1

2733 Cornet Ct
Silver Spring, MD 20904-6853

Other practice location 2

2733 Cornet Ct
Silver Spring, MD 20904-6853
Phone (240) 970-3628

Other practice location 3

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700

Other names 1

  • Dr. Tigist Dabessa Gemechu Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgemechu393122@ewd.direct.hshs.org Direct St Vincent Hospital-Hospital Sisters-Third Order of St Francis

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI, AL, SC, OK, TN6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20211013001525 TX Practitioner - Internal Medicine 9234496498 Reassigns benefits to 5 organizations
I20230228002071 WI Practitioner - Hospitalist 9234496498
I20250113000586 AL Practitioner - Internal Medicine 9234496498 Reassigns benefits to 2 organizations
I20250116003240 SC Practitioner - Internal Medicine 9234496498 Reassigns benefits to 1 organization
I20250916004426 OK Practitioner - Internal Medicine 9234496498 Reassigns benefits to 1 organization
I20251008002085 TN Practitioner - Internal Medicine 9234496498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Observation Medicine Services of Oklahoma, LLCGroup PAC ID 9931562956, 203 clinicians
North Texas Physician Services, PLLCGroup PAC ID 6305295429, 236 clinicians
Southeastern Hospitalist Services PCGroup PAC ID 3476855420, 301 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-3131

2600 Saint Michael Dr
Texarkana, TX 75503-2372
Phone (903) 614-1000

300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 684-2101

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330

501 Robertson Blvd
Walterboro, SC 29488-2787
Phone (843) 782-2000

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207R0000XNYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Hospitalist Services PC Internal Medicine CurrentSince Jan 1, 2025 Accepting new patients
Hospital Medicine Associates LLC Internal Medicine CurrentSince Oct 3, 2024 Accepting new patients
St. Vincent Hospital-Hospital Sisters-Third Order of St. Francis CurrentSince Jul 1, 2023 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Nov 23, 2022 Accepting new patients
Usacs Observation Medicine Services of Oklahoma, LLC CurrentSince Jun 21, 2025 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Aug 28, 2025 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Sep 28, 2021 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis Internal Medicine Current Accepting new patients
Hospital Physician Services - Southeast Professional Corporation Hospitalist CurrentSince Oct 3, 2024 Accepting new patients
Usacs Integrated Acute Care Services of Texas, PLLC Internal Medicine CurrentSince May 12, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 23, 2022 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Sep 28, 2021 Accepting new patients
Christus Health Ark-la-Tex Past Accepting new patients
Trident Medical Center, LLC Past Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients
BBH WBMC, LLC Past Accepting new patients

Locations

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

501 Robertson Blvd
Walterboro, SC 29488
Phone (843) 549-2000

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-5600

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

Interoperability endpoints

  • Direct secure messaging: tgemechu393122@ewd.direct.hshs.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 6

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": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1518469782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BARD AVE DEPT OF",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "718-818-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVE DEPT OF",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "718-818-2419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2733 Cornet Ct",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209046853",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2733 Cornet Ct",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209046853",
            "country_code": "US",
            "telephone_number": "240-970-3628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 N Westhaven Dr",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549047668",
            "country_code": "US",
            "telephone_number": "920-303-8700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEMECHU",
        "first_name": "TIGIST",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T3282",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207R0000X",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "93118",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "81229",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgemechu393122@ewd.direct.hshs.org",
            "affiliation": "Y",
            "affiliationName": "St Vincent Hospital-Hospital Sisters-Third Order of St Francis",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "835 S Van Buren St",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543013526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIGIST",
            "last_name": "GEMECHU",
            "middle_name": "DABESSA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.