NPIMap

Individual provider Active NPI

Tariku Damte Ayalew, M.D.

  • Internal Medicine Physician
  • Abingdon, VA
National Provider Identifier
1073752036
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2011-0811 Issued in NM
Practice address
16000 Johnston Memorial Drive
Abingdon, VA 24211
Phone
(301) 618-3772
Fax
(301) 618-2986
NPI assigned
Feb 16, 2009
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD18942 ME
Internal Medicine Physician 207R00000X 0101250064 VA
Internal Medicine Physician 207R00000X 2013-00134 NC
Internal Medicine Physician 207R00000X MD2011-0811 NM Primary
Hospitalist Physician 208M00000X 0101250064 VA
Hospitalist Physician 208M00000X 2013-00134 NC
Hospitalist Physician 208M00000X MD2011-0811 NM
Hospitalist Physician 208M00000X MD18942 ME

Addresses

Primary practice location

16000 Johnston Memorial Drive
Abingdon, VA 24211

Mailing address

225 South Whiting Street Apt 605
Alexandria, VA 22304
Phone (301) 618-3772

Other practice location 1

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-5680

Other practice location 2

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 904-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, MD, DC4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20130329000012 VA Practitioner - Internal Medicine 7416120159 Reassigns benefits to 1 organization
I20150715002111 NC Practitioner - Internal Medicine 7416120159 Reassigns benefits to 3 organizations
I20240820000681 MD Practitioner - HospitalistPractitioner - Internal Medicine 7416120159
I20241216002264 DC Practitioner - Internal Medicine 7416120159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robeson Hospitalist Group PLLCGroup PAC ID 2567898430, 33 clinicians
Usacs Integrated Acute Care Services of Maryland LLCGroup PAC ID 4486900172, 178 clinicians

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-8000

300 W 27TH St
Lumberton, NC 28358-3075
Phone (910) 671-5000

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101250064VAMDFamily Medicine Physician
2013-00134NCMDHospitalist Physician
MD2011-0811NMMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Robeson Hospitalist Group PLLC Hospitalist CurrentSince Jan 1, 2020 Accepting new patients
Cumberland County Hospital System Inc Internal Medicine CurrentSince Feb 5, 2023 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Aug 4, 2013 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC Internal Medicine CurrentSince Nov 1, 2024 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Feb 5, 2023 Accepting new patients
Indiana Hospitalists, PC Internal Medicine Past Accepting new patients
St. Joseph Ambulatory Care Inc Past Accepting new patients
Cumberland County Hospital System Inc Internal Medicine Past Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients

Locations

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

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: tayalew1104560@direct.umm.edu
  • Direct secure messaging: tayalew111854@capefearvalley.direct-ci.com
  • Direct secure messaging: tayalew207884@direct.unc.nchie.net

Organizations & group practices 11

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1073752036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 SOUTH WHITING STREET APT 605",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22304",
            "telephone_number": "301-618-3772",
            "fax_number": "301-618-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DRIVE",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "24211",
            "telephone_number": "301-618-3772",
            "fax_number": "301-618-2986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-5680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283769111",
            "country_code": "US",
            "telephone_number": "910-904-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALEW",
        "first_name": "TARIKU",
        "middle_name": "DAMTE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-16",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD18942",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101250064",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2013-00134",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2011-0811",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101250064",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NC",
            "license": "2013-00134",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NM",
            "license": "MD2011-0811",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ME",
            "license": "MD18942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abingdon, VA

Sources for this page

Verify at the official NPI Registry.