Individual provider Active NPI

Girum Mekonnen, M.D.

  • Cardiovascular Disease Physician
  • Alexandria, VA
National Provider Identifier
1508092602
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101270798 Issued in VA
Practice address
8101 Hinson Farm Rd Ste 408
Alexandria, VA 22306-3409
Phone
(703) 780-9014
Fax
(703) 780-9077
NPI assigned
Jun 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101270798 VA Primary
Cardiovascular Disease Physician 207RC0000X 072035 GA

Addresses

Primary practice location

8101 Hinson Farm Rd Ste 408
Alexandria, VA 22306-3409

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

1301 Sigman Rd NE
Suite 200
Conyers, GA 30012-3812
Phone (770) 483-9330

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmekonnen760083@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20210125003196 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294022679 Reassigns benefits to 1 organization
I20240619000246 VA Practitioner - Cardiovascular Disease (Cardiology) 5294022679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

14349 Gideon Dr
Woodbridge, VA 22192-4641

14605 Potomac Branch Dr
Suite 210
Woodbridge, VA 22191-3337
Phone (703) 620-3211

1600 N Beauregard St
150 Inova Health Care Services Img
Alexandria, VA 22311-1732
Phone (571) 472-0080

21785 Filigree CT
Ashburn, VA 20147-6214

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (877) 511-4625

3300 Gallows Rd
Falls Church, VA 22042-3307

400 Fannon St
FL 3
Alexandria, VA 22301-1011
Phone (703) 780-9014

4320 Seminary Rd
Alexandria, VA 22304-1535

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

8081 Innovation Park Dr
Fairfax, VA 22031-4867

8101 Hinson Farm Rd
Suite 408
Alexandria, VA 22306-3409
Phone (703) 780-9014

8109 Tis Well Dr
Suite 511
Alexandria, VA 22306-3211
Phone (703) 970-2630

9321 Sanger St
Lorton, VA 22079-2720

Hospital & facility affiliations

  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Jan 19, 2021 Accepting new patients
Inova Health Care Services CurrentSince May 6, 2024 Accepting new patients
Inova Health Care Services CurrentSince Jan 19, 2021 Accepting new patients

Locations

8101 Hinson Farm Rd
Ste 408
Alexandria, VA 22306
Phone (703) 207-7007

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

400 Fannon St
Fl 3
Alexandria, VA 22301
Phone (571) 665-6480

8095 Innovation Park Dr
Bldg C
Fairfax, VA 22031
Phone (571) 472-6253

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

14605 Potomac Branch Dr
Ste 210
Woodbridge, VA 22191
Phone (703) 620-3211

Interoperability endpoints

  • Direct secure messaging: gmekonnen760083@soc.inova.org

Organizations & group practices 3

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 4

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": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1508092602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 408",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063409",
            "telephone_number": "703-780-9014",
            "fax_number": "703-780-9077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Sigman Rd NE",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300123812",
            "country_code": "US",
            "telephone_number": "770-483-9330",
            "fax_number": "770-483-3731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEKONNEN",
        "first_name": "GIRUM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-03",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101270798",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "GA",
            "license": "072035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmekonnen760083@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8101 Hinson Farm Rd Ste 408",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223063409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.