Azeb Girma Kebede, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R161687 Issued in MD

Practice address

11511 Sutherland Hill Way
Silver Spring, MD 20904-4205

Phone

(301) 529-7580

NPI assigned

Jun 27, 2020

Last updated

Jun 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CCIJBA

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.

• Preventive Care Network Services PC

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1407913296

  DC

  Medicare reassignment NPD
• Preventive Care Network

  • Internal Medicine Physician
  • Grasonville, MD
  • NPI 1548822232
  NPD

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

{
    "created_epoch": "1593216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1174140990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11511 SUTHERLAND HILL WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044205",
            "telephone_number": "301-529-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11511 SUTHERLAND HILL WAY",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044205",
            "telephone_number": "301-529-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEBEDE",
        "first_name": "AZEB",
        "middle_name": "GIRMA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-27",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R161687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Nppes.cms.hhs.gov",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11511 Sutherland Hill Way",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209044205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mirinda Keane, MSW, LCSW
• Laura Keanon, LCSW-C
• Alem Yesheye Kebede
• Amelework Kebede
• Aynama Kebede
• Betelehem Girma Kebede
• Meron Kebede
• Miraf Kebede Sr.
• Yared Tsegaye Kebede
• Kebros & Associates, LLC (SmartCare Home Health Services)

• Nurse Practitioner in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; 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.

Verify at the official NPI Registry.