Active NPI
Jodit Hagos Beyene, DNP
- Family Medicine Physician
- Woonsocket, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0024169535
- Practice address
- 1 CVS Dr
Woonsocket, RI 02895-6146 - Phone
- (866) 389-2727
- NPI assigned
- Aug 3, 2011
- Last updated
- Oct 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12197-33 | WI | |
| Family Medicine Physician | 207Q00000X | 10498 | CT | |
| Family Medicine Physician | 207Q00000X | 350933 | NY | |
| Family Medicine Physician | 207Q00000X | 26067 | SC | |
| Family Medicine Physician | 207Q00000X | 112171 | WV | |
| Family Medicine Physician | 207Q00000X | 5016337 | NC | |
| Family Medicine Physician | 207Q00000X | R52099 | ND | |
| Family Medicine Physician | 207Q00000X | GAA-NP000687 | GA | |
| Family Medicine Physician | 207Q00000X | SP025819 | PA | |
| Family Medicine Physician | 207Q00000X | 0024169535 | VA | Primary |
| Family Medicine Physician | 207Q00000X | CP002359 | SD | |
| Family Medicine Physician | 207Q00000X | 26NJ01451500 | NJ |
Addresses
Primary practice location
1 CVS Dr
Woonsocket, RI 02895-6146
Mailing address
1 CVS Dr
Woonsocket, RI 02895-6146
Phone (866) 389-2727
Other practice location 1
9009 Silverbrook Rd
Fairfax Station, VA 22039-2607
Phone (703) 493-8531
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, GA, SC, PA, NC, CT, NY, WI, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 10
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Marymount University, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone (866) 389-2727
183 Route 206 S
Chester, NJ 07930-2547
Phone (866) 389-2727
19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727
5652 Pickwick Rd
Centreville, VA 20120-2057
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10498 | CT | MD | Family Medicine Physician |
| R52099 | ND | MD | Family Medicine Physician |
| SP025819 | PA | MD | Family Medicine Physician |
| 26067 | SC | MD | Family Medicine Physician |
| CP002359 | SD | MD | Family Medicine Physician |
| 12197-33 | WI | MD | Family Medicine Physician |
| 112171 | WV | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of New Jersey LLC | Family Medicine | Current | Accepting new patients |
| Minuteclinic Diagnostic of Virginia LLC | Family | Current | Accepting new patients |
| Medical Group of New York, P.C. | Family | Current | Accepting new patients |
Locations
471 Main St
Chatham, NJ 07928
Phone (973) 635-4636
4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700
107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222
1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687
5652 Pickwick Rd
Centreville, VA 20120
Phone (703) 629-2115
9009 Silverbrook Rd
Fairfax Station, VA 22039
Phone (703) 493-8531
19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918
6360 Hoadly Rd
Manassas, VA 20112
Phone (703) 221-7467
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 4
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.
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Family Medicine
-
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- Eastchester, NY
- NPI 1487983516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760400000000",
"number": "1073891305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DR",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "866-389-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CVS DR",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "866-389-2727"
}
],
"practiceLocations": [
{
"address_1": "9009 Silverbrook Rd",
"address_purpose": "LOCATION",
"city": "Fairfax Station",
"state": "VA",
"postal_code": "220392607",
"country_code": "US",
"telephone_number": "703-493-8531",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEYENE",
"first_name": "JODIT",
"middle_name": "HAGOS",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-03",
"last_updated": "2025-10-14",
"certification_date": "2025-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "12197-33",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "10498",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "350933",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "26067",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "112171",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "5016337",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "R52099",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "GAA-NP000687",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "SP025819",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0024169535",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SD",
"license": "CP002359",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "26NJ01451500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woonsocket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.