Girma Assefa, M.D.
NPI 1619904992 · Internal Medicine Physician · South Holland, IL
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Girma Assefa, M.D. is a Internal Medicine Physician provider in South Holland, IL (NPI 1619904992).
Provider details
- NPI number
- 1619904992
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036-078388 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
871 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 275 | $93 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 226 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 192 | $130 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 77 | $132 |
| Administration of Influenza Virus VaccineG0008 | 54 | $34 |
| Office Or Other Outpatient Visit for the Evaluation and Management of Established Patient That May Not Require Presence of Healthcare Professional99211 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 122 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 1,096 | 318 |
| Rosuvastatin Calcium | 693 | 214 |
| Metoprolol Succinate | 648 | 186 |
| Losartan Potassium | 563 | 175 |
| Atorvastatin Calcium | 502 | 152 |
| Metformin Hcl | 349 | 115 |
| Albuterol Sulfate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$64 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2021-12-18
- Certified
- 2021-12-18
Frequently asked questions
- What is Girma Assefa's NPI number?
- Girma Assefa's National Provider Identifier (NPI) is 1619904992, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Girma Assefa's specialty?
- Girma Assefa is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Girma Assefa located?
- Girma Assefa's practice location on file with NPPES is 100 W 162nd St, South Holland, IL 60473-2003.
- What is Girma Assefa's phone number?
- The practice phone number listed in the NPPES registry for Girma Assefa is (708) 730-2200.
- Does Girma Assefa accept Medicare?
- Girma Assefa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Girma Assefa's NPI active?
- Yes — Girma Assefa's NPI (1619904992) is active in the NPPES registry as of the last update on 2021-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.