Individual provider Active NPI

Ermias Abebe Gessesse, SLEEP TECH

  • EEG Specialist/Technologist
  • Washington, DC
National Provider Identifier
1255671038
Registry record updated Feb 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG Specialist/TechnologistTaxonomy code 246ZE0500X
License
17660 Issued in MD
Practice address
50 Irving St NW
Washington, DC 20422-0001
Phone
(202) 745-8000
Fax
(202) 518-4624
NPI assigned
Feb 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Specialist/Technologist 246ZE0500X 17660 MD Primary

Addresses

Primary practice location

50 Irving St NW
Washington, DC 20422-0001

Mailing address

8668 Piney Branch Rd
201
Silver Spring, MD 20901-3903
Phone (240) 640-1772

Other identifiers 3

IdentifierTypeStateIssuer
2960OtherMDTHE AMERICAN BOARD OF SLEEP MEDICINE
17660OtherMDRPSGT
215878OtherMDMD SLEEP TECH LICENCE

Other names 1

  • Ermias Abebe Gessesse Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17660MDMDEEG Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360886400000",
    "number": "1255671038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8668 PINEY BRANCH RD",
            "address_2": "201",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209013903",
            "telephone_number": "240-640-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "204220001",
            "telephone_number": "202-745-8000",
            "fax_number": "202-518-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESSESSE",
        "first_name": "ERMIAS",
        "middle_name": "ABEBE",
        "name_prefix": "Mr.",
        "credential": "SLEEP TECH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "MD",
            "license": "17660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THE AMERICAN BOARD OF SLEEP MEDICINE",
            "identifier": "2960",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPSGT",
            "identifier": "17660",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD  SLEEP TECH LICENCE",
            "identifier": "215878",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERMIAS",
            "last_name": "GESSESSE",
            "middle_name": "ABEBE",
            "credential": "SLEEP TECH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.