Organization Active NPI

Medicalofficeof Dr Tefera

  • Internal Medicine Physician
  • Falls Church, VA
National Provider Identifier
1134473671
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101241655 Issued in VA
Legal business name
MEDICALOFFICEOF DR TEFERA
Practice address
2946 Sleepy Hollow Rd
Falls Church, VA 22044-2003
Phone
(703) 213-0716
NPI assigned
Nov 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Dr. Girma K TeferaNPI 1144429127
Title
Director
Phone
(703) 213-0716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101241655 VA Primary

Addresses

Primary practice location

2946 Sleepy Hollow Rd
Falls Church, VA 22044-2003

Mailing address

9628 Sloway Coast Dr
Lorton, VA 22079-2787
Phone (703) 587-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121128000551 DC Part B Supplier - Clinic/Group Practice 5496903668 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA; Annandale, VA; Springfield, VA

National Provider Directory

National Provider Directory

Locations

50 S Pickett St
Alexandria, VA 22304
Phone (571) 338-2764

6320 Augusta Dr
Ste 600
Springfield, VA 22150
Phone (703) 385-3033

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1134473671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9628 SLOWAY COAST DR",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792787",
            "telephone_number": "703-587-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2946 SLEEPY HOLLOW RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442003",
            "telephone_number": "703-213-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALOFFICEOF DR TEFERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "TEFERA",
        "authorized_official_first_name": "GIRMA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-213-0716",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101241655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.