Individual provider Active NPI

Medhanit Tekle, M.D.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1508229873
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD048711 Issued in DC
Practice address
1824 Madison Ave FL 5
New York, NY 10035-3832
Phone
(212) 423-4500
NPI assigned
Apr 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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
Family Medicine Physician 207Q00000X MD048711 DC Primary

Addresses

Primary practice location

1824 Madison Ave FL 5
New York, NY 10035-3832

Mailing address

4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 540-9857

Other practice location 1

4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 540-9857

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
I20201116002997 DC Practitioner - Family Practice 5698069581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community of Hope, IncGroup PAC ID 5092612762, 54 clinicians

Practice addresses (Care Compare)

2155 Champlain St NW
Marie Reed HLTH Ctr
Washington, DC 20009-2795
Phone (202) 407-7747

4 Atlantic St SW
Washington, DC 20032-2350
Phone (202) 407-7747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD048711DCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community of Hope Inc. CurrentSince Oct 5, 2020 Accepting new patients
Community of Hope, Inc. Current Accepting new patients
Community of Hope, Inc CurrentSince Oct 5, 2020 Accepting new patients

Locations

2155 Champlain St NW
Washington, DC 20009
Phone (202) 407-3080

2120 Bladensburg Rd NE
Washington, DC 20018
Phone (202) 407-3080

4 Atlantic St SW
Washington, DC 20032
Phone (202) 407-3080

Interoperability endpoints

  • Direct secure messaging: medhanit.tekle@coh.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1508229873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ATLANTIC ST SW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322350",
            "telephone_number": "202-540-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MADISON AVE FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353832",
            "telephone_number": "212-423-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Atlantic St SW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200322350",
            "country_code": "US",
            "telephone_number": "202-540-9857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEKLE",
        "first_name": "MEDHANIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DC",
            "license": "MD048711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.