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DR. FREAW NIGUSSIE DEJENIE M.D. NPI 1649439050


NPI Information

NPI: 1649439050
Provider Name: DR. FREAW NIGUSSIE DEJENIE, M.D.
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

PECOS Registration: Yes

Address:
3900 ST FRANCIS WAY STE 213
LAFAYETTE, IN
ZIP 47905
Phone: (765) 775-2800
Get Directions

DR. Freaw Nigussie Dejenie, M.D. is a gastroenterology internal medicine in Lafayette, IN with 11 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Freaw Nigussie Dejenie, M.D. NPI is 1649439050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2013

The provider's business location address is:

3900 ST FRANCIS WAY STE 213
LAFAYETTE, IN
ZIP 47905-938
Phone: (765) 775-2800
Fax: (765) 471-5461

The NPI 1649439050 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)

The enumeration date for this NPI number is 6/2/2008 and was last updated on 5/3/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMD038406DISTRICT OF COLUMBIANo
2207R00000XInternal Medicine0101246521VIRGINIANo
3207RG0100XInternal MedicineGastroenterologyD70682MARYLANDNo
4208M00000XHospitalistMD038406DISTRICT OF COLUMBIANo
5207RG0100XInternal MedicineGastroenterology01073022AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1266180L95OTHERMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.