Individual provider Active NPI

Yiesak W. Asfaw

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1487019030
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1014643 Issued in DC
Practice address
128 M St NW
Washington, DC 20001-1205
Phone
(202) 854-3840
NPI assigned
Dec 28, 2015
Last updated
Feb 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1014643 DC Primary

Addresses

Primary practice location

128 M St NW
Washington, DC 20001-1205

Mailing address

3413 Olive Branch Dr
Silver Spring, MD 20904-4973
Phone (301) 256-7630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160218000135 DC Practitioner - Nurse Practitioner 8426353152 Reassigns benefits to 2 organizations
I20241211004052 MD Practitioner - Nurse Practitioner 8426353152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians

Practice addresses (Care Compare)

900 Van Buren St
Annapolis, MD 21403-2124
Phone (410) 267-8653

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
77.19
Improvement activities
40
Cost
63.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. Current Accepting new patients
M Medical Group, Inc. CurrentSince Sep 15, 2018 Accepting new patients
M Medical Group, Inc. CurrentSince Sep 15, 2018 Accepting new patients
Palliative Medicine Consultants of Greater Washington, LLC CurrentSince Jan 11, 2026 Accepting new patients
Providence Hospital Past Accepting new patients
Express Healthcare, LLC PastSince Jan 29, 2019 Accepting new patients

Locations

900 Van Buren St
Annapolis, MD 21403
Phone (301) 933-2500

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

2700 N Charles St
Baltimore, MD 21218
Phone (410) 554-6300

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

14200 Laurel Park Dr
Laurel, MD 20707
Phone (301) 953-7980

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

1355 Piccard Dr
Ste 100
Rockville, MD 20850
Phone (301) 921-4400

9905 Medical Center Dr
Rockville, MD 20850
Phone (240) 826-2011

9905 Medical Center Dr
Ste 300
Rockville, MD 20850
Phone (301) 270-2844

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1487019030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 OLIVE BRANCH DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044973",
            "telephone_number": "301-256-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 M ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200011205",
            "telephone_number": "202-854-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASFAW",
        "first_name": "YIESAK",
        "middle_name": "W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-28",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1014643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.