Active NPI
Tenagne W. Haile-Mariam, M.D.
- Emergency Medicine Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD19855
- Practice address
- 2150 Pennsylvania Ave NW
Washington, DC 20037-3201 - Phone
- (202) 741-2222
- Fax
- (202) 741-3396
- NPI assigned
- Dec 13, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD19855 | DC | Primary |
Addresses
Primary practice location
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Mailing address
2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19855 | DC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Faculty Associates, Inc | Emergency Medicine | Current | Accepting new patients |
Locations
2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222
2021 K St NW
Ste 600
Washington, DC 20006
Phone (202) 741-3387
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104987742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201",
"telephone_number": "202-741-2222",
"fax_number": "202-741-3396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 PENNSYLVANIA AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200373201",
"telephone_number": "202-741-2222",
"fax_number": "202-741-3396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAILE-MARIAM",
"first_name": "TENAGNE",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "DC",
"license": "MD19855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.