NPIMap

Organization Active NPI

Telahun, Shrader & Rivera, MD

  • Specialist
  • Clinton, MD
National Provider Identifier
1386837011
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TELAHUN, SHRADER & RIVERA, MD
Practice address
9131 Piscataway Rd Ste 450
Clinton, MD 20735-2543
Phone
(301) 868-6700
Fax
(301) 868-3017
NPI assigned
Aug 27, 2007
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Dr. Azeb Telahun, MDNPI 1487746228
Title
President
Phone
(301) 868-6700

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

9131 Piscataway Rd Ste 450
Clinton, MD 20735-2543

Mailing address

9131 Piscataway Rd Ste 450
Clinton, MD 20735-2543
Phone (301) 868-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419000695 DC Part B Supplier - Clinic/Group Practice 3779578737 Receives reassigned benefits from 7 practitioners
Practice locations: Clinton, MD; Alexandria, VA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: atelahun@gmeps.intellechartdirect.net
  • Direct secure messaging: cshrader@gmeps.intellechartdirect.net
  • Direct secure messaging: hrojasmartinez@gmeps.intellechartdirect.net
  • Direct secure messaging: mmurray@gmeps.intellechartdirect.net
  • Direct secure messaging: pnootheti@gmeps.intellechartdirect.net
  • Direct secure messaging: priveravelazquez@gmeps.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1386837011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 PISCATAWAY RD STE 450",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352543",
            "telephone_number": "301-868-6700",
            "fax_number": "301-868-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 PISCATAWAY RD STE 450",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352543",
            "telephone_number": "301-868-6700",
            "fax_number": "301-868-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELAHUN, SHRADER & RIVERA, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "TELAHUN",
        "authorized_official_first_name": "AZEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-868-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.