Individual provider Active NPI

Azeb Telahun, MD

  • Ophthalmology Physician
  • Clinton, MD
National Provider Identifier
1487746228
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0048069 Issued in MD
Practice address
9131 Piscataway Rd
Clinton, MD 20735-2508
Phone
(301) 868-6700
Fax
(301) 868-3017
NPI assigned
Sep 29, 2006
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0048069 MD Primary

Addresses

Primary practice location

9131 Piscataway Rd
Clinton, MD 20735-2508

Mailing address

9131 Piscataway Rd
Clinton, MD 20735-2508
Phone (301) 868-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101202000872 DC Practitioner - Ophthalmology 2264592187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Emory University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Telahun, Shrader and Rivera, MDGroup PAC ID 3779578737, 5 clinicians

Practice addresses (Care Compare)

127 A N Washington St
Alexandria, VA 22314-3176
Phone (301) 868-6700

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
98.68
Improvement activities
40
Cost
79.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Telahun, Shrader & Rivera, MD CurrentSince Aug 5, 1995 Accepting new patients
Michigan Glaucoma & Cataract, P.C. Past Accepting new patients
Lori P. Alexander, MSPT, LLC PastSince Nov 29, 2011 Accepting new patients
Washington National Eye Center Ophthalmology Past Accepting new patients

Locations

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

127 N Washington St
Ste A
Alexandria, VA 22314
Phone (301) 868-6700

Interoperability endpoints

  • Direct secure messaging: atelahun@gmeps.intellechartdirect.net

Organizations & group practices 4

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1487746228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 PISCATAWAY RD",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352508",
            "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",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352508",
            "telephone_number": "301-868-6700",
            "fax_number": "301-868-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELAHUN",
        "first_name": "AZEB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0048069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.