Skyline Medical Center Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101244617 Issued in VA

Legal business name

SKYLINE MEDICAL CENTER INC

Practice address

5276 Dawes Ave
Alexandria, VA 22311-1404

Phone

(571) 777-8494

NPI assigned

Apr 1, 2016

Organization subpart

No

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

Authorized official

Name

Tesfaye Tetemke, MDNPI 1255599239

Title

Owner

Phone

(571) 777-8494

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14509/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tesfaye Tetemke, MD

  • Internal Medicine Physician
  • Alexandria, VA
  • NPI 1255599239

  DC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1285097683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 WALHAVEN DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102621",
            "telephone_number": "703-888-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5276 DAWES AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111404",
            "telephone_number": "571-777-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "TETEMKE",
        "authorized_official_first_name": "TESFAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-777-8494",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101244617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric B Sklar, M.D.
• Skopp Chiropractic, PLLC
• Martin J Skopp, DC
• Lauren Skovira, MS, OTR/L
• Sky-Line Patient Transport LLC
• Skyline Psychiatric Associates Inc
• Skyline Wellness Center
• Pamela Angilette Sledge, OTR/L
• Sleep Centers of Northern Virginia
• Molly Nicole Sliva, PT, DPT

• Internal Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.