Blen Nigussie, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA031432 Issued in DC

Practice address

106 Irving St NW
Washington, DC 20010-2927

Phone

(202) 877-4599

Fax

(202) 877-0448

NPI assigned

Feb 19, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Blen Nigussie Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Medstar Medical Group Radiology, LLC

  • Diagnostic Radiology Physician
  • Washington, DC
  • NPI 1326450156

  MD

  Medicare reassignment
• Washington Hospital Center Corp

  • Neurological Surgery Physician
  • Washington, DC
  • NPI 1407870124
  Medicare reassignment
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment
• Medstar Medical Group II LLC

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1023836137
  NPD
• Washington Hospital Center Corp

  • General Practice Physician
  • Washington, DC
  • NPI 1629394424
  NPD

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1588164396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13324 SHEFFIELD MANOR DR UNIT 4",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047200",
            "telephone_number": "301-768-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102927",
            "telephone_number": "202-877-4599",
            "fax_number": "202-877-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGUSSIE",
        "first_name": "BLEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BLEN",
            "last_name": "NIGUSSIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aradhya Nigam
• Etaferahu Nigatu
• Marjorie Ann Nightingale, MA
• Susan Nightingale, LCSW
• Peter Thorne Nigra, MD
• Fiseha Nigussie
• Muluwork Nigussie
• Tsigereda Getachew Nigussie
• Kieranjeet Nijhar, MD
• Sukhjeevan Nijhar

• Physician Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Physician Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.