Individual provider Active NPI

Jodit Hagos Beyene, DNP

  • Family Medicine Physician
  • Woonsocket, RI
National Provider Identifier
1073891305
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0024169535 Issued in VA
Practice address
1 CVS Dr
Woonsocket, RI 02895-6146
Phone
(866) 389-2727
NPI assigned
Aug 3, 2011
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20111020000047 DC Practitioner - Nurse Practitioner 5193997914 Reassigns benefits to 1 organization
I20111202000595 VA Practitioner - Nurse Practitioner 5193997914 Reassigns benefits to 1 organization
I20220614001935 GA Practitioner - Nurse Practitioner 5193997914
I20220616000624 SC Practitioner - Nurse Practitioner 5193997914
I20220829003676 PA Practitioner - Nurse Practitioner 5193997914 Reassigns benefits to 1 organization
I20220917000538 NC Practitioner - Nurse Practitioner 5193997914
I20220920001720 CT Practitioner - Nurse Practitioner 5193997914
I20230120002253 NY Practitioner - Nurse Practitioner 5193997914 Reassigns benefits to 1 organization
I20230207000980 WI Practitioner - Nurse Practitioner 5193997914
I20230501003015 NJ Practitioner - Nurse Practitioner 5193997914 Reassigns benefits to 1 organization

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
Minuteclinic Video Virtual Care, PLLCGroup PAC ID 0143650416, 36 clinicians
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians

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

LicenseStateTypeSpecialty
10498CTMDFamily Medicine Physician
R52099NDMDFamily Medicine Physician
SP025819PAMDFamily Medicine Physician
26067SCMDFamily Medicine Physician
CP002359SDMDFamily Medicine Physician
12197-33WIMDFamily Medicine Physician
112171WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Jersey LLC Family Medicine CurrentSince Mar 2, 2023 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Aug 31, 2011 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Dec 1, 2022 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.

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

Verify at the official NPI Registry.