Individual provider Active NPI

Tsedey Eshetu, M.D.

  • Family Medicine Physician
  • Lorton, VA
National Provider Identifier
1053844969
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101268842 Issued in VA
Practice address
9321 Sanger St Ste 203
Lorton, VA 22079-2720
Phone
(703) 982-8390
Fax
(703) 982-8391
NPI assigned
Apr 7, 2017
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101268842 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

9321 Sanger St Ste 203
Lorton, VA 22079-2720

Mailing address

PO Box 37189
Baltimore, MD 21297-3189
Phone (571) 423-5699

Other practice location 1

2500 Pocoshock Pl
Suite 201
North Chesterfield, VA 23235-6345
Phone (804) 276-9305

Other names 1

  • Tsedeynawit Eshetu Other name

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
I20201006003030 DC Practitioner - Family Practice 8426322249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

Practice addresses (Care Compare)

9321 Sanger St
Suite 203
Lorton, VA 22079-2720
Phone (703) 982-8390

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as apm
Quality
87.97
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Family Medicine CurrentSince Sep 8, 2020 Accepting new patients
Inova Physician Partners, Inc. - Specialists PastSince Oct 4, 2020 Accepting new patients

Locations

6355 Walker Ln
Ste 500
Alexandria, VA 22310
Phone (703) 373-3718

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

9321 Sanger St
Ste 203
Lorton, VA 22079
Phone (703) 982-8390

Interoperability endpoints

  • Direct secure messaging: teshetu723740@soc.inova.org

Organizations & group practices 2

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

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1053844969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37189",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973189",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9321 SANGER ST STE 203",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792720",
            "telephone_number": "703-982-8390",
            "fax_number": "703-982-8391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Pocoshock Pl",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232356345",
            "country_code": "US",
            "telephone_number": "804-276-9305",
            "fax_number": "804-674-4145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESHETU",
        "first_name": "TSEDEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101268842",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TSEDEYNAWIT",
            "last_name": "ESHETU",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lorton, VA

Sources for this page

Verify at the official NPI Registry.