Individual provider Active NPI

Amanuel Tekle Rosario, M.D.

  • Infectious Disease Physician
  • Washington, DC
National Provider Identifier
1467767830
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD19847 Issued in DC
Practice address
1900 Massachusetts Ave SE BLDG 15
Washington, DC 20003-2542
Phone
(202) 698-4020
Fax
(202) 724-2363
NPI assigned
Aug 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D0043026 MD
Infectious Disease Physician 207RI0200X MD19847 DC Primary

Addresses

Primary practice location

1900 Massachusetts Ave SE BLDG 15
Washington, DC 20003-2542

Mailing address

16810 Harbour Town Dr
Silver Spring, MD 20905-4100
Phone (240) 481-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19847DCMDInfectious Disease Physician
D0043026MDMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1467767830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16810 HARBOUR TOWN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209054100",
            "telephone_number": "240-481-6767",
            "fax_number": "301-421-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MASSACHUSETTS AVE SE BLDG 15",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032542",
            "telephone_number": "202-698-4020",
            "fax_number": "202-724-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO",
        "first_name": "AMANUEL",
        "middle_name": "TEKLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0043026",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "DC",
            "license": "MD19847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.