Individual provider Active NPI

Fisehatsion G Mehari, MD

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1023052867
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0064478 Issued in MD
Practice address
15225 Shady Grove Rd Ste 103
Rockville, MD 20850-3252
Phone
(301) 977-9959
Fax
(301) 977-9958
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0064478 MD Primary

Addresses

Primary practice location

15225 Shady Grove Rd Ste 103
Rockville, MD 20850-3252

Mailing address

2315 Henslowe Dr
Potomac, MD 20854-2951
Phone (301) 802-9353

Other identifiers 1

IdentifierTypeStateIssuer
J443-0016OtherDCCAREFIRST BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060822000454 DC Practitioner - Internal MedicinePractitioner - Hospitalist 4688677107 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Usacs Integrated Acute Care Services of Maryland LLCGroup PAC ID 4486900172, 178 clinicians

Practice addresses (Care Compare)

15225 Shady Grove Rd
Suite 103
Rockville, MD 20850-3252
Phone (301) 977-9959

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-7578

Hospital & facility affiliations

  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
  • Montcare at Bethesda Nursing home, Bethesda, MD, CCN 215095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0064478MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Dura Internal Medicine Limited Liability Company Internal Medicine CurrentSince May 29, 2020 Accepting new patients
Metropolitan Physicians Group LLC Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients
Montgomery Operator LLC Past Accepting new patients

Locations

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

15225 Shady Grove Rd
Ste 103
Rockville, MD 20850
Phone (240) 778-4411

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBEBCD/Endpoint/HBEBCD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1023052867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 HENSLOWE DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542951",
            "telephone_number": "301-802-9353",
            "fax_number": "301-977-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 SHADY GROVE RD STE 103",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503252",
            "telephone_number": "301-977-9959",
            "fax_number": "301-977-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHARI",
        "first_name": "FISEHATSION",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0064478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE SHIELD",
            "identifier": "J443-0016",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.