FISSEHA YITBAREK GHIDEY (M.D) – Internal Medicine Physician, NPI 1013145887
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
184 INFECTIOUS DISEASE in WI
Provider Addresses for FISSEHA YITBAREK GHIDEY (M.D)
1818 N Meade St Ste 130
Appleton, WI 549113454
Phone: (920) 831-1841
Fax: (920) 831-1834
Type: Location
850 Kempsville Rd Ste 100F
Norfolk, VA 235023920
Phone: (757) 261-5910
Type: Location
945 N 12th St
Milwaukee, WI 532331305
Phone: (414) 219-2000
Type: Location
4509, Garfield Street, Ellaville, Hyattsville, Prince George's County, Maryland, 20781, United States
HYATTSVILLE, MD 207811963
Phone: (718) 710-1813
Fax: (253) 284-1881
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: 2025-02-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (986 days ago).
Enrollment records
4
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120907000442 | I | Internal Medicine | VA | 2023-09-30 |
| I20150714003195 | I | Infectious Disease | WI | TBD |
| I20160314001753 | I | Infectious Disease | SD | TBD |
| I20250206000908 | I | Internal Medicine | KS | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 180 | 60 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 115 | 79 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 51 | 47 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 20 | 13 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 20 | 19 | $0 |
Insurance plans in this area (ZIP 54911)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Mental Health Counselor | WI | |
| - | WI | |
| Internal Medicine | WI | |
| Hospitalist, Internal Medicine | WI | |
| U R O L O G Y | GA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| - | OH | |
| - | WI | |
| - | WI |
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