Active NPI
Ejegayehu Terefe-Gifawossen, MD
- Internal Medicine Physician
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0077157
- Practice address
- 3500 S Lafountain St
Kokomo, IN 46902-3803 - Phone
- (765) 865-8630
- Fax
- (765) 864-5901
- NPI assigned
- Dec 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0077157 | MD | Primary |
| Internal Medicine Physician | 207R00000X | 01068519 | IN | |
| Hospitalist Physician | 208M00000X | 01068519 | IN |
Addresses
Primary practice location
3500 S Lafountain St
Kokomo, IN 46902-3803
Mailing address
6626 E 75TH St
Suite 500
Indianapolis, IN 46250-2890
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200996560 | Medicaid | IN | |
| P01270943 | Other | IN | RR MEDICARE |
| P00905153 | Other | IN | RAILROAD MEDICARE PTAN |
Other names 1
- Ejegayehu Gifawossen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1205 York Rd
Suite 11
Timonium, MD 21093-6211
Phone (443) 325-0031
19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 557-5928
2729 King St
Alexandria, VA 22302-4008
Phone 70383688384008
299 Hurley Ave
Rockville, MD 20850-3118
Phone (301) 279-9000
3210 Powder Mill Rd
Hyattsville, MD 20783-1029
Phone (301) 937-3939
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0077157 | MD | MD | Internal Medicine Physician |
| 01068519 | IN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Synergy Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Synergy Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Maryland PC | Internal Medicine | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
| Galen Inpatient Physicians PC | Hospitalist | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Maryland, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Maryland PC | Internal Medicine | Current | Accepting new patients |
| Synergy Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Holy Cross Health, Inc | Past | Accepting new patients | |
| Hillhaven SNF Operator LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Indiana Clinic Critical Care LLC | Internal Medicine | Past | Accepting new patients |
Locations
5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280
400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300
19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928
3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000
3210 Powder Mill Rd
Hyattsville, MD 20783
Phone (301) 937-3939
299 Hurley Ave
Rockville, MD 20850
Phone (301) 762-8900
9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600
1205 York Rd
Ste 11
Timonium, MD 21093
Phone (443) 325-0031
200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Lutherville, MD
- NPI 1912736901
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC, MD
-
- Hospitalist Physician
- Frederick, MD
- NPI 1992945471
DC, Internal Medicine
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1922598929
DC
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Hospitalist Physician
- Silver Spring, MD
- NPI 1417842345
-
- Internal Medicine Physician
- Frederick, MD
- NPI 1366240111
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silver Spring, MD
- NPI 1669417838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1750563623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST",
"address_2": "SUITE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 S LAFOUNTAIN ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469023803",
"telephone_number": "765-865-8630",
"fax_number": "765-864-5901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEREFE-GIFAWOSSEN",
"first_name": "EJEGAYEHU",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0077157",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01068519",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01068519",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200996560",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01270943",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00905153",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EJEGAYEHU",
"last_name": "GIFAWOSSEN",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.