TIGIST DEREJE ASHAGARI (M.D.) – Internal Medicine Physician, NPI 1619246667

TIGIST DEREJE ASHAGARI (M.D.) is a healthcare provider. based in Manchester, Connecticut. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 051789 (CT). The NPI Number for TIGIST DEREJE ASHAGARI (M.D.) is 1619246667

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
TIGIST DEREJE ASHAGARI (M.D.)
NPI
1619246667
Phone
Not provided
Address
71 HAYNES ST
Enumeration Date
20 December 2011
Last Update Date
22 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606793692
Graduation Year
2002 (24 years ago)
PAC ID
0345474862
Group Practice PAC ID
3678472016
Professional Enrollment ID
I20131015002221
Address ID
CT060300001FA263XXAVEX300

Contacts

Secure Messaging
tashagari71806@direct.med.uchc.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

3,448 INTERNAL MEDICINE in CT

Provider Addresses for TIGIST DEREJE ASHAGARI (M.D.)

  • 71 HAYNES ST

    MANCHESTER, CT 060404131

    Phone:

    Type: Mailing

  • 65 KANE ST

    WEST HARTFORD, CT 061192110

    Phone: (860) 523-6436

    Fax: (860) 523-3775

    Type: Location

  • 71 Haynes St

    Manchester, CT 060404131

    Phone: (860) 646-1222

    Type: Location

  • 263 FARMINGTON AVE

    FARMINGTON, CT 060308082

    Phone: (860) 523-6436

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131015002221IInternal MedicineCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06040)

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Provider's Procedures

TIGIST DEREJE ASHAGARI (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINECT83036Hemoglobin A1C level4029
INTERNAL MEDICINECT85610Blood test, clotting time4619

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678472016View full group profile
NameSpecialtyState
N E U R O S U R G E R YNY
E N D O C R I N O L O G YVA
Orthopedic SurgeryCT
Orthopedic SurgeryCT
Endocrinology, Internal MedicineCT
Critical Care (Intensivists)CT
Hospitalist, Internal MedicineCT
Gynecological OncologyNY
Physician AssistantCT
Hand Surgery, Orthopedic SurgeryCT

Reviews

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Frequently asked questions

How is TIGIST DEREJE ASHAGARI (M.D.) identified in CMS data?
CMS-hosted NPPES data lists TIGIST DEREJE ASHAGARI (M.D.) with NPI 1619246667.
Can I rely on TIGIST DEREJE ASHAGARI (M.D.) being an active provider?
As of the registry snapshot, TIGIST DEREJE ASHAGARI (M.D.) is marked active.
What is TIGIST DEREJE ASHAGARI (M.D.)'s primary classification?
Internal Medicine Physician is the headline specialty for TIGIST DEREJE ASHAGARI (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect TIGIST DEREJE ASHAGARI (M.D.) on a map?
Expect Manchester, Connecticut as a primary anchor for TIGIST DEREJE ASHAGARI (M.D.) unless the record lists multiple sites.
Is the information about TIGIST DEREJE ASHAGARI (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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