TIGIST WOLDEGEBRIAL HAILESELASSIE PA
NPI 1336681105
Physician Assistant - Medical in Greenbelt, MD

NPI Status: Active since November 10, 2016

Contact Information

7225 HANOVER PKWY
A
GREENBELT, MD
ZIP 20770
Phone: (301) 345-1400

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  • Individual
  • Female
  • Years of Experience 12
  • Physician Assistant
  • Medical
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About TIGIST HAILESELASSIE

This page provides the complete NPI Profile along with additional information for Tigist Haileselassie, a primary care provider established in Greenbelt, Maryland with a medical specialization in Physician Assistant, focusing in medical and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1336681105 assigned on November 2016. The practitioner's primary taxonomy code is 363AM0700X with license number C0006033 (MD). The provider is registered as an individual and her NPI record was last updated July 2025.

NPI
1336681105
Provider Name
TIGIST WOLDEGEBRIAL HAILESELASSIE PA
Gender
Female
Entity Type
Individual
Location Address
7225 HANOVER PKWY A GREENBELT, MD 20770
Location Phone
(301) 345-1400
Mailing Address
4903 GEORGIA AVE NW WASHINGTON, DC 20011
Mailing Phone
(202) 723-0393
Medical School Name
OTHER
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
11-10-2016
Last Update Date
07-08-2025
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A primary care provider (PCP) like Tigist Haileselassie sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
C0006033
License State
MD

Medicare Participation & PECOS Enrollment Status

Tigist Haileselassie is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Tigist Haileselassie is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 4587091616

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240304000371

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for TIGIST WOLDEGEBRIAL HAILESELASSIE PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336681105
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366128210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 2 + 8 + 2 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1336681105 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144349408MRS. KELLY SAMANTHA BENTON-KLEIN PSY.D.
Individual
Psychologist (Clinical)7225 HANOVER PKWY BLDG. 7 A-B
GREENBELT, MD 20770
(301) 585-2977
1770754368GREENBELT MEDICAL, LLC
Organization
Clinic/Center (Urgent Care)7225 HANOVER PKWY SUITE A AND B
GREENBELT, MD 20770
(301) 220-0039
1073178919 GBESSAY NYALLAY NGOMBI PA-C
Individual
Physician Assistant7225 HANOVER PKWY
GREENBELT, MD 20770
(301) 220-0039
1932144219ADVANTAGE DIABETIC SUPPLY
Organization
Durable Medical Equipment & Medical Supplies7225 HANOVER PKWY SUITE C
GREENBELT, MD 20770
(301) 446-0381
1205957156THOMAS COMPREHENSIVE COUNSELING SERVICES
Organization
Counselor (Addiction (Substance Use Disorder))7225 HANOVER PKWY SUITE A AND B
GREENBELT, MD 20770
(301) 585-2977
1346525748MERCY A. OBAMOGIE, MD, MPH, PC
Organization
Clinic/Center7225 HANOVER PKWY SUITE A
GREENBELT, MD 20770
(301) 345-5900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336681105, enumerated in the NPI registry as an "individual" on November 10, 2016

The provider is located at 7225 Hanover Pkwy A Greenbelt, Md 20770 and the phone number is (301) 345-1400

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 12 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on November 10, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.