Active NPI
Fisehatsion G Mehari, MD
- Internal Medicine Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0064478
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J443-0016 | Other | DC | CAREFIRST 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
Enrollment records 1
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
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
- Montcare at Bethesda
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064478 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Maryland PC | Internal Medicine | Current | Accepting new patients |
| Usacs Integrated Acute Care Services of Maryland, LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Maryland PC | Internal Medicine | Current | Accepting new patients |
| Dura Internal Medicine Limited Liability Company | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1134742695
DC
-
- Internal Medicine Physician
- Elkton, MD
- NPI 1922598929
DC
-
- Hospitalist Physician
- Frederick, MD
- NPI 1992945471
DC, Internal Medicine
-
- Internal Medicine Physician
- Frederick, MD
- NPI 1366240111
-
- General Acute Care Hospital
- Rockville, MD
- NPI 1568468221
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Riverdale, MD
- NPI 1174716252
-
- Skilled Nursing Facility
- Montgomery Village, MD
- NPI 1780338483
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockville, MD
- NPI 1568468221
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.