Individual provider Active NPI

Getachew Mengistu

  • Internal Medicine Physician
  • Annapolis, MD
National Provider Identifier
1427445378
Registry record updated Dec 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D086150 Issued in MD
Practice address
2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone
(443) 481-1000
Fax
(443) 481-1687
NPI assigned
Apr 17, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X D086150 MD Primary

Addresses

Primary practice location

2001 Medical Pkwy
Annapolis, MD 21401-3773

Mailing address

1113 W Nolcrest Dr
Silver Spring, MD 20903-1043
Phone (240) 863-8756

Other practice location 1

1113 W Nolcrest Dr
Silver Spring, MD 20903-1043
Phone (240) 863-8756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181219001252 MD Practitioner - Internal Medicine 9537458427 Reassigns benefits to 2 organizations
I20190501001104 DC Practitioner - Hospitalist 9537458427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Howard University College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agile Healthcare Services IncGroup PAC ID 1052779584, 3 clinicians
Usacs Integrated Acute Care Services of Maryland LLCGroup PAC ID 4486900172, 178 clinicians

Practice addresses (Care Compare)

10107 New Hampshire Ave
Silver Spring, MD 20903-1713

11890 Healing Way
Silver Spring, MD 20904-7917
Phone (240) 637-5070

Hospital & facility affiliations

  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D086150MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Dec 1, 2018 Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince Dec 1, 2018 Accepting new patients
Agile Healthcare Services Inc Internal Medicine CurrentSince Oct 28, 2022 Accepting new patients
Agile Healthcare Services Inc CurrentSince Sep 24, 2023 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Apr 8, 2019 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Apr 8, 2019 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

10107 New Hampshire Ave
Ste A
Silver Spring, MD 20903
Phone (240) 247-0077

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

10107 New Hampshire Ave
#One
Silver Spring, MD 20903
Phone (240) 247-0077

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

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

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

Organizations & group practices 9

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

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": "1429228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543622400000",
    "number": "1427445378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 W NOLCREST DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031043",
            "telephone_number": "240-863-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MEDICAL PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013773",
            "telephone_number": "443-481-1000",
            "fax_number": "443-481-1687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1113 W Nolcrest Dr",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209031043",
            "country_code": "US",
            "telephone_number": "240-863-8756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENGISTU",
        "first_name": "GETACHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-17",
        "last_updated": "2018-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D086150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.