Organization Active NPI

Integrated Medical Care and Rehab.,PC

  • Physical Medicine & Rehabilitation Physician
  • Alexandria, VA
National Provider Identifier
1356460331
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0101223994 Issued in VA
Legal business name
INTEGRATED MEDICAL CARE AND REHAB.,PC
Practice address
4600 King Street
Suite 4R
Alexandria, VA 22302
Phone
(703) 820-8050
Fax
(703) 820-8720
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Abraham Yimer Asmamaw, M.D.NPI 1417912593
Title
President
Phone
(703) 820-8050

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
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 0101223994 VA Primary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 0101223994 VA

Addresses

Primary practice location

4600 King Street
Suite 4R
Alexandria, VA 22302

Mailing address

PO Box 11529
Alexandria, VA 22312-0529
Phone (703) 820-8050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070418000530 DC Part B Supplier - Clinic/Group Practice 6800708348 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

4600 King St
#4R
Alexandria, VA 22302
Phone (703) 820-8050

4600 King St
Ste 4R
Alexandria, VA 22302
Phone (703) 820-8050

5350 Shawnee Rd
Ste 305
Alexandria, VA 22312
Phone (703) 814-8050

125 Hospital Center Blvd
Ste 309
Stafford, VA 22554
Phone (540) 371-7600

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1356460331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11529",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223120529",
            "telephone_number": "703-820-8050",
            "fax_number": "703-820-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 KING STREET",
            "address_2": "SUITE 4R",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22302",
            "telephone_number": "703-820-8050",
            "fax_number": "703-820-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL CARE AND REHAB.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "ASMAMAW",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "YIMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-820-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101223994",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "VA",
            "license": "0101223994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.