Individual provider Active NPI

Netsere Tesfayohannes

  • Pain Medicine (Anesthesiology) Physician
  • Greenbelt, MD
National Provider Identifier
1255316972
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
34343 Issued in DC
Practice address
7300 Hanover Dr Ste 204
Greenbelt, MD 20770-2202
Phone
(301) 220-2333
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 34343 DC Primary

Addresses

Primary practice location

7300 Hanover Dr Ste 204
Greenbelt, MD 20770-2202

Mailing address

14911 Windmill Ter
Silver Spring, MD 20905-5640

Other identifiers 1

IdentifierTypeStateIssuer
7074550001OtherDME

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000342 DC Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 8224006481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Wisconsin School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgetown Pain Management LLCGroup PAC ID 0648318659, 3 clinicians

Practice addresses (Care Compare)

7300 Hanover Dr
Suite 204
Greenbelt, MD 20770-2247
Phone 2402979016111

Merit-based Incentive Payment System (MIPS)

Final score
8.55 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
28.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34343DCMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Pain Management LLC Pain Medicine CurrentSince Apr 30, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Washington Hospital Center Corp Past Accepting new patients
Pain Management Associates, LLC Pain Medicine PastSince Oct 1, 2002 Accepting new patients

Locations

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

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

7500 Greenway Center Dr
Ste 940
Greenbelt, MD 20770
Phone (301) 220-2333

7300 Hanover Dr
Ste 204
Greenbelt, MD 20770
Phone (240) 297-9016

Interoperability endpoints

  • Direct secure messaging: ntesfayohannes@2413.securemail.prognocis.com

Organizations & group practices 4

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1255316972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14911 WINDMILL TER",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR STE 204",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702202",
            "telephone_number": "301-220-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFAYOHANNES",
        "first_name": "NETSERE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "DC",
            "license": "34343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "7074550001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.