Individual provider Active NPI

Hiwot Abebe Mengiste, MD

  • Pulmonary Disease Physician
  • Fredericksburg, VA
National Provider Identifier
1184155012
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
0101279682 Issued in VA
Practice address
1101 Sam Perry Blvd Ste 318
Fredericksburg, VA 22401-4466
Phone
(540) 741-0500
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 1184155012 VA
Pulmonary Disease Physician 207RP1001X 0101279682 VA Primary

Addresses

Primary practice location

1101 Sam Perry Blvd Ste 318
Fredericksburg, VA 22401-4466

Mailing address

1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940

Other practice location 1

400 Sentara Cir Ste 201A2041
Williamsburg, VA 23188-5716
Phone (757) 984-3975

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231016000982 VA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 9537445051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

1101 Sam Perry Blvd
Fredericksburg, VA 22401-4466
Phone (540) 741-0500

400 Sentara Cir
Suite 201a
Williamsburg, VA 23188-5716
Phone (757) 984-3975

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1184155012VAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group Internal Medicine CurrentSince Sep 2, 2023 Accepting new patients
Mary Washington Healthcare Providers LLC CurrentSince Mar 23, 2026 Accepting new patients

Locations

1101 Sam Perry Blvd
Ste 318
Fredericksburg, VA 22401
Phone (540) 372-7792

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1340 Central Park Blvd
Ste 100
Fredericksburg, VA 22401

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

400 Sentara Cir
Ste 201A
Williamsburg, VA 23188
Phone (757) 984-3975

400 Sentara Cir
Ste 201A2041
Williamsburg, VA 23188
Phone (757) 984-3975

Interoperability endpoints

  • Direct secure messaging: hmengiste850784@direct.sentara.net

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1184155012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRAL PARK BLVD STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD STE 318",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014466",
            "telephone_number": "540-741-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Sentara Cir Ste 201A2041",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231885716",
            "country_code": "US",
            "telephone_number": "757-984-3975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENGISTE",
        "first_name": "HIWOT",
        "middle_name": "ABEBE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "VA",
            "license": "1184155012",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101279682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.