Individual provider Active NPI

Fiseha M Gebregiorgis, PAC

  • Medical Physician Assistant
  • Rockville, MD
National Provider Identifier
1245525344
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0004466 Issued in MD
Practice address
1235 Potomac Valley Rd
Rockville, MD 20850-2757
Phone
(872) 231-3162
NPI assigned
Jun 16, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0004466 MD Primary

Addresses

Primary practice location

1235 Potomac Valley Rd
Rockville, MD 20850-2757

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Other practice location 1

4409 E West Hwy
Riverdale, MD 20737-1058
Phone (301) 699-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, NJ, MA, IL, IN, PA, MI, CT9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20120822000133 MD Practitioner - Physician Assistant 2961671953 Reassigns benefits to 4 organizations
I20180829000116 DC Practitioner - Physician Assistant 2961671953 Reassigns benefits to 6 organizations
I20240614001315 NJ Practitioner - Physician Assistant 2961671953 Reassigns benefits to 1 organization
I20240624001001 MA Practitioner - Physician Assistant 2961671953 Reassigns benefits to 2 organizations
I20240911000241 IL Practitioner - Physician Assistant 2961671953 Reassigns benefits to 1 organization
I20240925000464 IN Practitioner - Physician Assistant 2961671953 Reassigns benefits to 1 organization
I20251203004610 PA Practitioner - Physician Assistant 2961671953 Reassigns benefits to 1 organization
I20251215003256 MI Practitioner - Physician Assistant 2961671953 Reassigns benefits to 1 organization
I20260522002360 CT Practitioner - Physician Assistant 2961671953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infinite Medical PCGroup PAC ID 8325477656, 87 clinicians
Mep Observation Services LLCGroup PAC ID 2365611845, 42 clinicians

Practice addresses (Care Compare)

1 Price Dr
Elkton, MD 21921-6731
Phone (718) 534-0689

101 Walnut St
Neptune, NJ 07753-4301
Phone (718) 534-0689

111 Headwaters Dr
Harwich, MA 02645-1028
Phone (718) 534-0689

14200 Laurel Park Dr
Laurel, MD 20707-5201
Phone (212) 734-6621

22580 W Main St
Armada, MI 48005-3242
Phone (718) 534-0689

343 S Nappanee St
Elkhart, IN 46514-2066
Phone (718) 534-0689

498 Washington St
Easton, PA 18042-4432
Phone (718) 534-0689

6840 W Touhy Ave
Niles, IL 60714-4520
Phone (212) 734-6621

80 Fern Dr
Torrington, CT 06790-3807
Phone (718) 534-0689

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-7550

Hospital & facility affiliations

  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Apr 28, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

6500 Riggs Rd
Hyattsville, MD 20783
Phone (301) 434-0500

1235 Potomac Valley Rd
Rockville, MD 20850
Phone (301) 299-2273

2700 Barker St
Silver Spring, MD 20910
Phone (301) 565-0300

600 Largo Rd
Uppr Marlboro, MD 20774
Phone (301) 350-5555

498 Washington St
Easton, PA 18042
Phone (610) 253-4821

7120 Braddock Rd
Annandale, VA 22003
Phone (703) 256-9770

Organizations & group practices 10

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 1

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1245525344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 POTOMAC VALLEY RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502757",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4409 E West Hwy",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "MD",
            "postal_code": "207371058",
            "country_code": "US",
            "telephone_number": "301-699-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEBREGIORGIS",
        "first_name": "FISEHA",
        "middle_name": "M",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-16",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.