Individual provider Active NPI

Abeyot Desta Tegegne, M.D

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1609212414
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0081480 Issued in MD
Practice address
900 Caton Ave
Baltimore, MD 21229-5201
Phone
(410) 368-8858
Fax
(410) 368-3525
NPI assigned
May 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0081480 MD Primary

Addresses

Primary practice location

900 Caton Ave
Baltimore, MD 21229-5201

Mailing address

900 Caton Ave
Baltimore, MD 21229-5201
Phone (410) 368-8858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160705000224 MD Practitioner - Internal Medicine 9537466073 Reassigns benefits to 4 organizations
I20170404000391 DC Practitioner - Internal Medicine 9537466073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Agnes Healthcare IncGroup PAC ID 9830092733, 265 clinicians

Practice addresses (Care Compare)

900 Caton Ave
Baltimore, MD 21229-5201
Phone (667) 234-6000

Hospital & facility affiliations

  • Saint Agnes Hospital Hospital, Baltimore, MD, CCN 210011
  • Umd Rehabilitation & Orthopaedic Institute Hospital, Baltimore, MD, CCN 210058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0081480MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Jan 25, 2017 Accepting new patients
Rahel G. Yirga MD PC Internal Medicine CurrentSince Mar 7, 2022 Accepting new patients
St Agnes Healthcare Inc Internal Medicine CurrentSince Jul 1, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 1, 2022 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Internal Medicine CurrentSince Apr 14, 2017 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Apr 14, 2017 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Jan 25, 2017 Accepting new patients
St Agnes Healthcare Inc CurrentSince Jul 1, 2016 Accepting new patients
Shore-Bayy Hospitalists Associates CurrentSince Aug 12, 2018 Accepting new patients
Medstar Medical Group II LLC Internal Medicine Past Accepting new patients
Shore Hospitalists Associates P.a. Internal Medicine PastSince Aug 12, 2018 Accepting new patients
St. Agnes Healthcare, Inc. Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

Interoperability endpoints

  • Direct secure messaging: ategegne547874@direct.umm.edu

Organizations & group practices 12

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 2

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1609212414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-8858",
            "fax_number": "410-368-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CATON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295201",
            "telephone_number": "410-368-8858",
            "fax_number": "410-368-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEGEGNE",
        "first_name": "ABEYOT",
        "middle_name": "DESTA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0081480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.