KIBREWESSEN DAGNE TEFERA (M.D) – Hospitalist Physician, NPI 1285074971

KIBREWESSEN DAGNE TEFERA (M.D) is a healthcare provider. based in Marietta, Georgia. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials M.D. They hold a License No. 075928 (GA). The NPI Number for KIBREWESSEN DAGNE TEFERA (M.D) is 1285074971

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
KIBREWESSEN DAGNE TEFERA (M.D)
NPI
1285074971
Phone
Not provided
Address
805 SANDY PLAINS RD
Enumeration Date
27 June 2013
Last Update Date
15 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704277389
Graduation Year
2009 (17 years ago)
PAC ID
8628208832
Group Practice PAC ID
1951399799
Professional Enrollment ID
I20161129001002
Address ID
GA300601171MA55XXXSTXX304

Contacts

Secure Messaging
ktefera124356@directwellstar.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:12State licenses:2Other namesUpdated within 12 months

5,405 INTERNAL MEDICINE in GA

Provider Addresses for KIBREWESSEN DAGNE TEFERA (M.D)

  • 805 SANDY PLAINS RD

    MARIETTA, GA 300666340

    Phone:

    Type: Mailing

  • 303 PARKWAY DR NE

    ATLANTA, GA 303121212

    Phone: (404) 265-4919

    Fax: (404) 265-4989

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $495.

Total Amount is formed as General ($495) + Research ($0) + Ownership ($0) = $495.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($116).

Total Amount

$495

General + Research + Ownership

Payments

19

Total payment records

General Amount

$495

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-11-29

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
I20161129001002INephrologyGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes306141$0
81000Manual urinalysis test with examination using microscope, non-automated11996$0
99213Established patient office or other outpatient visit, 20-29 minutes6963$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes6441$0
99204New patient office or other outpatient visit, 45-59 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 30066)

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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: 1951399799View full group profile
NameSpecialtyState
Internal MedicineIL
N E P H R O L O G YFL
Nephrology, Internal MedicineGA
Internal Medicine, NephrologyGA
Internal MedicineGA
Nephrology, Internal MedicineCA
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
-GA

Reviews

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Frequently asked questions

What is the standard ID for KIBREWESSEN DAGNE TEFERA (M.D) in the U.S.?
In the U.S., KIBREWESSEN DAGNE TEFERA (M.D) is identified by NPI 1285074971.
Should I treat KIBREWESSEN DAGNE TEFERA (M.D) as an active provider?
Patients and plans typically see KIBREWESSEN DAGNE TEFERA (M.D) as active in the national extract.
What does the directory say KIBREWESSEN DAGNE TEFERA (M.D) does?
Insurance directories may phrase it differently, but here KIBREWESSEN DAGNE TEFERA (M.D) maps to Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Can patients visit KIBREWESSEN DAGNE TEFERA (M.D) in Marietta, Georgia?
For routing, start with Marietta, Georgia for KIBREWESSEN DAGNE TEFERA (M.D), then verify phone and hours locally.
Can I export KIBREWESSEN DAGNE TEFERA (M.D)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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