Individual provider Active NPI

Medhin G Gebreamlak, NP

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1245756907
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1024535 Issued in DC
Practice address
1627 Kenilworth Ave NE
Washington, DC 20019-2010
Phone
(703) 732-7126
NPI assigned
Aug 15, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC002080 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC002080 MD
Family Nurse Practitioner 363LF0000X 1024535 DC Primary

Addresses

Primary practice location

1627 Kenilworth Ave NE
Washington, DC 20019-2010

Mailing address

8072 Horseshoe Cottage Cir
Lorton, VA 22079-2327
Phone (301) 477-4916

Other practice location 1

8072 Horseshoe Cottage Cir
Lorton, VA 22079-2327
Phone (703) 732-7126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190102000122 MD Practitioner - Nurse Practitioner 7113262700 Reassigns benefits to 1 organization
I20211214000165 DC Practitioner - Nurse Practitioner 7113262700 Reassigns benefits to 3 organizations
I20260528002752 VA Practitioner - Nurse Practitioner 7113262700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7835 Belle Point Dr
Greenbelt, MD 20770-3338
Phone (301) 477-4916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1024535DCMDFamily Nurse Practitioner
AC002080MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Hospital Center Corp Current Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2023 Accepting new patients
Washington Hospital Center Corp CurrentSince Jul 19, 2022 Accepting new patients
Addis Health Services LLC Family CurrentSince Sep 27, 2021 Accepting new patients
Washington Hospital Center Corp CurrentSince Jul 19, 2022 Accepting new patients
Addis Health Services LLC Psychiatric/Mental Health CurrentSince Dec 1, 2021 Accepting new patients
Elaine Ellis Center of Health, Inc. Past Accepting new patients
Elaine Ellis Center of Health, Inc. Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

7835 Belle Point Dr
Greenbelt, MD 20770
Phone (301) 477-4916

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

Interoperability endpoints

  • Direct secure messaging: medhin.gebreamlak.1@13305.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1245756907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8072 HORSESHOE COTTAGE CIR",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792327",
            "telephone_number": "301-477-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 KENILWORTH AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200192010",
            "telephone_number": "703-732-7126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8072 Horseshoe Cottage Cir",
            "address_purpose": "LOCATION",
            "city": "Lorton",
            "state": "VA",
            "postal_code": "220792327",
            "country_code": "US",
            "telephone_number": "703-732-7126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEBREAMLAK",
        "first_name": "MEDHIN",
        "middle_name": "G",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC002080",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC002080",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "1024535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.