Active NPI
Mahdere S Asfaw, MD
- Endocrinology, Diabetes & Metabolism Physician
- Salem, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 0101248342
- Practice address
- 1970 Roanoke Blvd
Salem, VA 24153-6404 - Phone
- (516) 610-3572
- NPI assigned
- Oct 23, 2006
- Last updated
- Sep 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 0101248342 | VA | Primary |
Addresses
Primary practice location
1970 Roanoke Blvd
Salem, VA 24153-6404
Mailing address
1970 Roanoke Blvd
Salem, VA 24153-6404
Phone (516) 610-3572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
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
Practice addresses (Care Compare)
1101 Sam Perry Blvd
Suite 305
Fredericksburg, VA 22401-4465
Phone (540) 374-3290
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101248342 | VA | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Washington Healthcare Physicians | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Mary Washington Healthcare Physicians | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Fredericksburg, LLC | Past | Accepting new patients | |
| Inpatient Specialists PA | Past | Accepting new patients |
Locations
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
1101 Sam Perry Blvd
Ste 305
Fredericksburg, VA 22401
Phone (540) 374-3290
Interoperability endpoints
- masfaw12107@marywashingtonhealthcare.direct-ci.com
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.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
Endocrinology, Diabetes & Metabolism
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1447577572
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1700858586
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
-
dba Stafford Hospital
- General Acute Care Hospital
- Stafford, VA
- NPI 1043343304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1083797047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 ROANOKE BLVD",
"city": "SALEM",
"state": "VA",
"postal_code": "241536404",
"telephone_number": "516-610-3572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 ROANOKE BLVD",
"city": "SALEM",
"state": "VA",
"postal_code": "241536404",
"telephone_number": "516-610-3572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASFAW",
"first_name": "MAHDERE",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "VA",
"license": "0101248342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.