DR. ISRAEL TEGEGNE HAILE (M.D) – Internal Medicine Physician, NPI 1922328335

DR. ISRAEL TEGEGNE HAILE (M.D) is a healthcare provider. based in Liberty, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D. They hold a License No. P7772 (TX). The NPI Number for DR. ISRAEL TEGEGNE HAILE (M.D) is 1922328335

Main info

Male
14 Years Of Experience
Name
DR. ISRAEL TEGEGNE HAILE (M.D)
NPI
1922328335
Phone
(936) 336-7316
Address
1353 N TRAVIS ST
Enumeration Date
8 June 2010
Last Update Date
19 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9726784545
Graduation Year
2012 (14 years ago)
PAC ID
6901033802
Group Practice PAC ID
3072679828
Professional Enrollment ID
I20131223000860
Address ID
TX750137025AL1310XPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

13,297 INTERNAL MEDICINE in TX

Provider Addresses for DR. ISRAEL TEGEGNE HAILE (M.D)

  • 1353 N TRAVIS ST

    LIBERTY, TX 775753549

    Phone: (936) 336-7316

    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)

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: 2013-12-23

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
I20131223000860IInternal MedicineTXTBD

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
99285Emergency department visit with high level of medical decision making4237$0
99284Emergency department visit with moderate level of medical decision making3434$0
99283Emergency department visit with low level of medical decision making2121$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1111$0
View full utilization report →

Insurance plans in this area (ZIP 77575)

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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: 3072679828View full group profile
NameSpecialtyState
Internal MedicineTX
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Emergency MedicineLA
Family Practice, Emergency MedicineTX
Physician AssistantKS
Emergency Medicine, Undersea And Hyperbaric MedicineTX
Emergency MedicineTX

Reviews

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Frequently asked questions

How is DR. ISRAEL TEGEGNE HAILE (M.D) identified in CMS data?
CMS-hosted NPPES data lists DR. ISRAEL TEGEGNE HAILE (M.D) with NPI 1922328335.
Is DR. ISRAEL TEGEGNE HAILE (M.D) still practicing?
DR. ISRAEL TEGEGNE HAILE (M.D) is currently listed as active in the public NPI registry.
What is DR. ISRAEL TEGEGNE HAILE (M.D)'s primary classification?
Internal Medicine Physician is the headline specialty for DR. ISRAEL TEGEGNE HAILE (M.D) here. Clinical services aligned with this taxonomy classification.
What area does DR. ISRAEL TEGEGNE HAILE (M.D) serve?
DR. ISRAEL TEGEGNE HAILE (M.D)'s listing highlights Liberty, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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