DR. ELIAS NIGUSSIE WOLDEGABRIEL (M.D) – Infectious Disease Physician, NPI 1316252265

DR. ELIAS NIGUSSIE WOLDEGABRIEL (M.D) is a healthcare provider. based in Urbana, Illinois. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. 0101254167 (VA). The NPI Number for DR. ELIAS NIGUSSIE WOLDEGABRIEL (M.D) is 1316252265

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELIAS NIGUSSIE WOLDEGABRIEL (M.D)
NPI
1316252265
Phone
(217) 383-6941
Address
611 W PARK ST
Enumeration Date
16 August 2010
Last Update Date
30 September 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887122753
Graduation Year
1995 (31 years ago)
PAC ID
1658507330
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20161007001697
Address ID
IL618012501UR611XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:15State licenses:2Digital endpointsOther names

475 INFECTIOUS DISEASE in IL

Provider Addresses for DR. ELIAS NIGUSSIE WOLDEGABRIEL (M.D)

  • 611 W PARK ST

    BWPC

    URBANA, IL 618012529

    Phone: (217) 383-6941

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $218.

Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Shionogi Inc ($140).

Total Amount

$218

General + Research + Ownership

Payments

5

Total payment records

General Amount

$218

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2016-10-07

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
I20161007001697IInfectious DiseaseILTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes250130$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15379$0
99213Established patient office or other outpatient visit, 20-29 minutes7256$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6462$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes6358$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

How do I look up DR. ELIAS NIGUSSIE WOLDEGABRIEL (M.D) by NPI?
Use NPI 1316252265 when you need to reference DR. ELIAS NIGUSSIE WOLDEGABRIEL (M.D) in forms, claims, or directories.
Is DR. ELIAS NIGUSSIE WOLDEGABRIEL (M.D) currently active in the NPI registry?
CMS-published data lists DR. ELIAS NIGUSSIE WOLDEGABRIEL (M.D) as an active registrant.
What kind of provider is DR. ELIAS NIGUSSIE WOLDEGABRIEL (M.D)?
The page reflects Infectious Disease Physician for DR. ELIAS NIGUSSIE WOLDEGABRIEL (M.D). Clinical services aligned with this taxonomy classification.
Where is DR. ELIAS NIGUSSIE WOLDEGABRIEL (M.D)'s primary listing?
We display Urbana, Illinois because that is what the record indicates for DR. ELIAS NIGUSSIE WOLDEGABRIEL (M.D).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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