Individual provider Active NPI

Selamawit Asmellash, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1306093919
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003304 Issued in MD
Practice address
1321 Otis PL NW
Washington, DC 20010-3435
Phone
(202) 368-1422
NPI assigned
Aug 26, 2008
Last updated
Aug 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0003304 MD Primary

Addresses

Primary practice location

1321 Otis PL NW
Washington, DC 20010-3435

Mailing address

1321 Otis PL NW
Washington, DC 20010-3435
Phone (202) 368-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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
I20100607000441 DC Practitioner - Physician Assistant 0648300350 Reassigns benefits to 5 organizations
I20161128000856 VA Practitioner - Physician Assistant 0648300350 Reassigns benefits to 1 organization
I20201210001114 MD Practitioner - Physician Assistant 0648300350 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Howard University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

1805 Columbia Rd NW
MMG Adams Morgan
Washington, DC 20009-2001
Phone (202) 797-4950

18101 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 570-7404

18105 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 774-8962

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as group
Quality
80.29
Promoting interoperability
100
Improvement activities
40
Cost
75.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0003304MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 1, 2016 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2020 Accepting new patients
WHC Emerg Phys CurrentSince Mar 1, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2020 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Oct 1, 2016 Accepting new patients
Washington Hospital Center Corp CurrentSince Jan 8, 2018 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2020 Accepting new patients
Washington Hospital Center Corp CurrentSince Jan 8, 2018 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Nov 1, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 1, 2016 Accepting new patients

Locations

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

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

20010 Century Blvd
Ste 200
Germantown, MD 20874

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

2000 15th St N
Ste 600
Arlington, VA 22201
Phone (202) 416-2000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1306093919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 OTIS PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103435",
            "telephone_number": "202-368-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 OTIS PL NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103435",
            "telephone_number": "202-368-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASMELLASH",
        "first_name": "SELAMAWIT",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0003304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.