Ashebir Woldeabezgi MD PC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

ASHEBIR WOLDEABEZGI MD PC

Practice address

11637 Terrace Dr
Suite 103
Waldorf, MD 20602-3706

Phone

(301) 374-9725

Fax

(301) 374-9724

NPI assigned

Sep 20, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashebir Gebru Woldeabezgi, MDNPI 1598794646

Title

President

Phone

(301) 374-9725

Specialties & licenses 2

Addresses

Other identifiers 11

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Ashebir Gebru Woldeabezgi, MD

  • Infectious Disease Physician
  • Waldorf, MD
  • NPI 1598794646

  DC, Internal Medicine

  Medicare reassignment NPD Authorized official
• Emily Floode, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1982143343

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1407953219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR",
            "address_2": "SUITE 103",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023706",
            "telephone_number": "301-374-9725",
            "fax_number": "301-374-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11637 TERRACE DR",
            "address_2": "SUITE 103",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023706",
            "telephone_number": "301-374-9725",
            "fax_number": "301-374-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHEBIR WOLDEABEZGI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WOLDEABEZGI",
        "authorized_official_first_name": "ASHEBIR",
        "authorized_official_middle_name": "GEBRU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-374-9725",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI LIFE AND HEALTH",
            "identifier": "2159246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7223718",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DG0925",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CAREFIRST",
            "identifier": "29JGA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS MED SERVICE",
            "identifier": "207251",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "248267",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "2159246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1419486",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "2159246",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANETE",
            "identifier": "265824",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST FEDERAL",
            "identifier": "7031",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Infectious Disease Physician in Maryland

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