Individual provider Active NPI

Ethiopia Teferra, M.D.

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1275587461
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD037036 Issued in DC
Practice address
2041 Georgia Ave NW # 1R84
Washington, DC 20060-6442
Phone
(202) 865-3610
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 268900 NY
Diagnostic Radiology Physician 2085R0202X D0052417 MD
Diagnostic Radiology Physician 2085R0202X MD037036 DC Primary

Addresses

Primary practice location

2041 Georgia Ave NW # 1R84
Washington, DC 20060-6442

Mailing address

695 Dutchess Tpke
Suite 105
Poughkeepsie, NY 12603-6442
Phone (888) 647-5979

Other practice location 1

695 Dutchess Tpke
Suite 105
Poughkeepsie, NY 12603-6442
Phone (888) 647-5979

Other identifiers 4

IdentifierTypeStateIssuer
KA80OtherMDB/C B/S
2849OtherDCB/C B/S
475461100MedicaidMD
J062OtherMDB/C B/S

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA, NJ, FL5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20080115000107 MD Practitioner - Diagnostic Radiology 9830270099 Reassigns benefits to 1 organization
I20080416000230 DC Practitioner - Diagnostic Radiology 9830270099 Reassigns benefits to 3 organizations
I20171127002581 VA Practitioner - Diagnostic Radiology 9830270099 Reassigns benefits to 2 organizations
I20191115001431 NJ Practitioner - Diagnostic Radiology 9830270099 Reassigns benefits to 1 organization
I20230901001295 FL Practitioner - Diagnostic Radiology 9830270099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Howard University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Services of Holy CrossGroup PAC ID 3779516992, 159 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

16810 Harbour Town Dr
Ashton, MD 20861-4100
Phone (904) 339-5550

4741 Hallowed STRM
Ellicott City, MD 21042-7902
Phone (904) 399-5550

Hospital & facility affiliations

  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • HCA Florida Lawnwood Hospital Hospital, Fort Pierce, FL, CCN 100246
  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004
  • HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037036DCMDDiagnostic Radiology Physician
268900NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Holy Cross CurrentSince Jul 18, 2023 Accepting new patients
Winchester Medical Center CurrentSince Oct 15, 2018 Accepting new patients
Winchester Medical Center CurrentSince Oct 15, 2018 Accepting new patients
Florida United Radiology LC Diagnostic Radiology Current Accepting new patients
Howard University Diagnostic Radiology CurrentSince Jun 19, 2025 Accepting new patients
Winchester Medical Center Current Accepting new patients
University Physician Associates of New Jersey Inc CurrentSince Oct 21, 2019 Accepting new patients
Shenandoah Valley Pathology Laboratories Inc Current Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Professional Services of Holy Cross CurrentSince Jul 18, 2023 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Oct 15, 2018 Accepting new patients
Howard University Faculty Practice Plan CurrentSince Jul 9, 2025 Accepting new patients
University Physician Associates of New Jersey Inc Diagnostic Radiology CurrentSince Oct 21, 2019 Accepting new patients
Page Memorial Hospital Inc CurrentSince Oct 15, 2018 Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jul 5, 2015 Accepting new patients
Page Memorial Hospital, Inc. Current Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology Past Accepting new patients
Shipley'S Imaging, LLC Diagnostic Radiology Past Accepting new patients
David L Bloom PA Diagnostic Radiology Past Accepting new patients

Locations

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2041 Georgia Ave NW
#1R84
Washington, DC 20060
Phone (202) 865-3610

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

11890 Healing Way
Silver Spring, MD 20904
Phone (240) 637-4000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

30 Bergen St
#12
Newark, NJ 07107
Phone (973) 972-0037

1160 Pittsford Victor Rd
Ste D2
Pittsford, NY 14534
Phone (585) 218-8007

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

235 Medical Dr
Stanley, VA 22851
Phone (540) 778-3484

220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

1 Healthy Way
Berkeley Springs, WV 25411
Phone (304) 258-1234

363 Sunrise Blvd
Romney, WV 26757
Phone (304) 822-4561

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 6

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1275587461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 DUTCHESS TPKE",
            "address_2": "SUITE 105",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126036442",
            "telephone_number": "888-647-5979",
            "fax_number": "888-847-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW # 1R84",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200606442",
            "telephone_number": "202-865-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "695 Dutchess Tpke",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126036442",
            "country_code": "US",
            "telephone_number": "888-647-5979",
            "fax_number": "888-847-0818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEFERRA",
        "first_name": "ETHIOPIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-07-03",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "268900",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0052417",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD037036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "KA80",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "2849",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475461100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S",
            "identifier": "J062",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.