Etsegenet F. Tizazu, MD
Individual provider Active NPI Neurology Physician · West Chester, PA
NPI 1922481746 · NPPES record last updated Feb 3, 2026
Key facts
- NPI
- 1922481746
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- C1-0024150 (DE)
- Practice address
- 200 Willowbrook Lane
West Chester, PA 19382-5576 - Phone
- (610) 696-8900
- Fax
- (610) 696-3890
- NPI assigned
- Jun 30, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 38
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Neurology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Christiana Care Health Services Inc
Clinical Care Associates of the University of Pennsylvania Health.
Practice addresses (Care Compare)
161 Wilmington W Chester Pike
Christiana Care Concord Health Center CCHS
Chadds Ford, PA 19317-9041
Phone (302) 731-7782
200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 623-3017
210 Willowbrook LN
Splty Care Westtown
West Chester, PA 19382-5576
Phone (610) 696-8900
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 838-3088
Hospital & facility affiliations
- Chester County Hospital
- Hospital of Univ of Pennsylvania
- Christiana Hospital
- Lancaster General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200831001617 | PA | Practitioner - Neurology | 7214354687 | Reassigns benefits to 4 organizations |
| I20210406001273 | DE | Practitioner - Neurology | 7214354687 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD467286 | PA | MD | Epilepsy Physician |
Practice roles
Locations
200 Hygeia Dr
Ste 1420
Newark, DE 19713
Phone (302) 623-3017
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
774 Christiana Rd
Ste 201
Newark, DE 19713
Phone (302) 623-3017
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060
161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042
3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428
3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104
200 Willowbrook Ln
Ste 210
West Chester, PA 19382
Phone (610) 696-8900
900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD467286 | PA | |
| Epilepsy Physician | 2084E0001X | MD467286 | PA | |
| Neurology Physician | 2084N0400X | C1-0024150 | DE | Yes |
Addresses
Primary practice location
200 Willowbrook Lane
West Chester, PA 19382-5576
Mailing address
200 Willowbrook Lane
Suite 210
West Chester, PA 19382-5576
Phone (610) 696-8900
Other practice location 1
200 Hygeia Dr Ste 1420
Newark, DE 19713-2049
Phone (302) 623-3017
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922481746 | Other | MI | ORGANIZED HEALTH CARE EDUCATION/TRAINING PROGRAM |
Other providers in West Chester, PA
- Sean Tipton
- Kirby S Tirk
- Christine M Tirney
- Devon Tirney
- Deborah Titus
- Brian W Tizio
- Leah Toal
- Sarah Todd
- Martin P Tolbert
- Stephanie Tomlinson
All providers in West Chester, PA · Neurology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.