Blue Nile Medical Center PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BLUE NILE MEDICAL CENTER PC

Practice address

85 S Bragg St
Suite 100
Alexandria, VA 22312-2797

Phone

(703) 845-0700

Fax

(703) 794-2269

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Tedla Anbessie, M.D.NPI 1972590743

Title

Physician

Phone

(703) 845-0700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tedla Anbessie, MD

  • Internal Medicine Physician
  • Alexandria, VA
  • NPI 1972590743

  DC

  Medicare reassignment Care Compare group Authorized official
• Yared A. Gebreyesus, M.D.

  • Internal Medicine Physician
  • Stafford, VA
  • NPI 1366432692

  DC, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Getachew Woldeher, M.D.

  • Internal Medicine Physician
  • Stafford, VA
  • NPI 1073504940

  DC, Internal Medicine

  Medicare reassignment Care Compare group NPD
• Girma K Tefera, MD

  • Internal Medicine Physician
  • Alexandria, VA
  • NPI 1144429127

  DC, Internal Medicine

  Medicare reassignment NPD
• Yonas Sisay, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1003020439

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1073544656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122797",
            "telephone_number": "703-845-0700",
            "fax_number": "703-794-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST",
            "address_2": "SUITE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122797",
            "telephone_number": "703-845-0700",
            "fax_number": "703-794-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE NILE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "ANBESSIE",
        "authorized_official_first_name": "TEDLA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-845-0700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Ann Blough, PTA
• Miles Blount
• Blue Beginning Health, Inc.
• Blue Box Psychotherapy Inc
• Blue Nile Home Health Care LLC
• Blue Sandcastle LLC
• Bluebird Home Health Services, LLC
• Zoe Elysia Blumenson
• Kathryn Anne Bly
• Jennifer L Boada, NP

• All providers in Alexandria, VA
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.