NPIMap

Organization Active NPI

Georgetown Pain Management LLC

  • Pain Medicine (Anesthesiology) Physician
  • Greenbelt, MD
National Provider Identifier
1336472356
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
GEORGETOWN PAIN MANAGEMENT LLC
Practice address
7300 Hanover Dr
Suite 204
Greenbelt, MD 20770-2202
Phone
(301) 220-2333
Fax
(301) 220-2339
NPI assigned
Sep 9, 2009
Last updated
Sep 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Netsere Tesfayohannes, MDNPI 1255316972
Title
Managing Physician
Phone
(301) 220-2333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X NU Primary

Addresses

Primary practice location

7300 Hanover Dr
Suite 204
Greenbelt, MD 20770-2202

Mailing address

7300 Hanover Dr
Suite 204
Greenbelt, MD 20770-2202
Phone (301) 220-2333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091112000134 DC Part B Supplier - Clinic/Group Practice 0648318659 Receives reassigned benefits from 14 practitioners
Practice locations: Greenbelt, MD
O20140508001462 MD DME Supplier - Physician - Interventional Pain Management 0648318659 Practice locations: Greenbelt, MD

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1336472356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR",
            "address_2": "SUITE 204",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702202",
            "telephone_number": "301-220-2333",
            "fax_number": "301-220-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HANOVER DR",
            "address_2": "SUITE 204",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702202",
            "telephone_number": "301-220-2333",
            "fax_number": "301-220-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "TESFAYOHANNES",
        "authorized_official_first_name": "NETSERE",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "301-220-2333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.