Individual provider Active NPI

Freaw Nigussie Dejenie, M.D.

  • Gastroenterology Physician
  • Lafayette, IN
National Provider Identifier
1649439050
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01073022A Issued in IN
Practice address
3900 St Francis Way Ste 213
Lafayette, IN 47905-4938
Phone
(765) 775-2800
Fax
(765) 471-5461
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD038406 DC
Gastroenterology Physician 207RG0100X D70682 MD
Internal Medicine Physician 207R00000X 0101246521 VA
Gastroenterology Physician 207RG0100X 01073022A IN Primary
Hospitalist Physician 208M00000X MD038406 DC
Gastroenterology Physician 207RG0100X 105556 GA

Addresses

Primary practice location

3900 St Francis Way Ste 213
Lafayette, IN 47905-4938

Mailing address

PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800

Other practice location 1

1269 Wellbrook Cir NE
Conyers, GA 30012-3873
Phone (770) 922-0505

Other practice location 2

11104 Parkview Circle Dr
Suite 310
Fort Wayne, IN 46845-1672
Phone (260) 266-5230

Other practice location 3

7501 Surratts Rd Ste 208
Clinton, MD 20735
Phone (301) 877-7353

Other identifiers 1

IdentifierTypeStateIssuer
266180L95OtherMEDICARE PIN

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address fdejenie601698@Direct.FranciscanAlliance.org Direct
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
Direct Messaging Address fdejenie69671@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MD, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20131108000089 IN Practitioner - GastroenterologyPractitioner - Internal Medicine 4183817943 Reassigns benefits to 2 organizations
I20201201000902 MD Practitioner - Gastroenterology 4183817943 Reassigns benefits to 1 organization
I20251028000100 GA Practitioner - Internal Medicine 4183817943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hendricks County HospitalGroup PAC ID 4880505528, 341 clinicians
Parkview Health System IncGroup PAC ID 2163336967, 1,350 clinicians
Aga Professional Services LLCGroup PAC ID 3870768997, 175 clinicians

Practice addresses (Care Compare)

1000 E Main St
Danville, IN 46122-1948

11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-2020

488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409
Phone (770) 427-3075

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053

8244 E US Hwy 36
Avon, IN 46123-9688

8244 E US Hwy 36 1320
Avon Internal Medicine
Avon, IN 46123-9688
Phone (317) 272-7519

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy49
Upper gastrointestinal (GI) endoscopy for acid reflux108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105556GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Current Accepting new patients
Parkview Health System Inc Internal Medicine Current Accepting new patients
Hendricks County Hospital CurrentSince Mar 1, 2025 Accepting new patients
Community Physicians of Indiana Inc Internal Medicine CurrentSince Aug 29, 2022 Accepting new patients
Aga Professional Services, LLC Gastroenterology CurrentSince Feb 3, 2026 Accepting new patients
Sinai Hospital of Baltimore Inc Current Accepting new patients
Aga, LLC Gastroenterology CurrentSince Sep 1, 2025 Accepting new patients
Hendricks County Hospital Gastroenterology CurrentSince Mar 1, 2025 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 29, 2022 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Jun 21, 2021 Accepting new patients
Sinai Hospital of Baltimore Inc Gastroenterology CurrentSince Jun 21, 2021 Accepting new patients
Inpatient Medical Services, P.a. Internal Medicine Past Accepting new patients
Aga Clinical Services, LLC Gastroenterology Past Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine Past Accepting new patients

Locations

1800 Howell Mill Rd NW
Ste 600
Atlanta, GA 30318
Phone (404) 351-9512

1501 Milstead Rd NE
Ste 120
Conyers, GA 30012
Phone (678) 745-3033

1269 Wellbrook Cir NE
Conyers, GA 30012
Phone (770) 922-0505

7229 Wheat St NE
Covington, GA 30014
Phone (678) 625-5132

488 Kennesaw Ave NW
Ste 200
Marietta, GA 30060
Phone (770) 427-3075

2520 Windy Hill Rd SE
Ste 102
Marietta, GA 30067
Phone (770) 612-8165

5819 Reliable Pkwy
Chicago, IL 60686

8244 E US Highway 36
Ste 1340
Avon, IN 46123
Phone (317) 520-5510

8244 E US Highway 36
Ste 1100
Avon, IN 46123
Phone (317) 272-7500

100 Hospital Ln
Ste 100
Danville, IN 46122
Phone (317) 718-4000

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020

11104 Parkview Circle Dr
Ste 310
Fort Wayne, IN 46845
Phone (260) 266-5230

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

8715 US 31
Indianapolis, IN 46227
Phone (317) 497-6721

1402 E County Line Rd
Southport, IN 46227
Phone (317) 887-7000

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

Interoperability endpoints

  • Direct secure messaging: fdejenie523682@ecommunitydirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d88010de-d791-42d4-b72d-513f9afc5ed1/
  • Direct secure messaging: fdejenie601698@direct.franciscanalliance.org
  • Direct secure messaging: fdejenie69671@direct.parkviewexchange.com

Organizations & group practices 14

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 14

Hospital & facility affiliations 5

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1649439050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 ST FRANCIS WAY STE 213",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054938",
            "telephone_number": "765-775-2800",
            "fax_number": "765-471-5461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1269 Wellbrook Cir NE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123873",
            "country_code": "US",
            "telephone_number": "770-922-0505",
            "fax_number": "678-625-5137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11104 Parkview Circle Dr",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468451672",
            "country_code": "US",
            "telephone_number": "260-266-5230",
            "fax_number": "260-458-5972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7501 Surratts Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MD",
            "postal_code": "20735",
            "country_code": "US",
            "telephone_number": "301-877-7353",
            "fax_number": "301-877-5673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJENIE",
        "first_name": "FREAW",
        "middle_name": "NIGUSSIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD038406",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D70682",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101246521",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": "01073022A",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "DC",
            "license": "MD038406",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "105556",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "266180L95",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fdejenie601698@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3900 St Francis Way Ste 213",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479054938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "address_2": "Suite 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fdejenie69671@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "address_2": "Suite 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "11104 Parkview Circle Dr",
            "address_2": "Suite 310",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468451672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, IN

Sources for this page

Verify at the official NPI Registry.