Individual provider Active NPI

Hundaol Shamsan Yadeta, MD

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1598384307
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD600005574 Issued in DC
Practice address
2131 O St NW
Washington, DC 20037-1008
Phone
(609) 585-1122
NPI assigned
Apr 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 33306 WV
Internal Medicine Physician 207R00000X MD600005574 DC Primary

Addresses

Primary practice location

2131 O St NW
Washington, DC 20037-1008

Mailing address

PO Box 7411009
Chicago, IL 60674-3009

Other practice location 1

501 Morris St
Charleston, WV 25301-1326
Phone (304) 388-5432

Other practice location 2

1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 647-4411

Other identifiers 1

IdentifierTypeStateIssuer
1598384307MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, DC, VA, WV, MD, OR6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20230719003950 OH Practitioner - Internal Medicine 2860852068 Reassigns benefits to 4 organizations
I20240304000514 DC Practitioner - Internal MedicinePractitioner - Hospitalist 2860852068 Reassigns benefits to 3 organizations
I20240304002991 VA Practitioner - HospitalistPractitioner - Internal Medicine 2860852068 Reassigns benefits to 1 organization
I20240618000614 WV Practitioner - Hospitalist 2860852068 Reassigns benefits to 3 organizations
I20250430001246 MD Practitioner - Internal Medicine 2860852068 Reassigns benefits to 2 organizations
I20250903002638 OR Practitioner - Internal Medicine 2860852068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians
First Docs PCGroup PAC ID 0547626871, 181 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians
Charleston Area Medical Center IncGroup PAC ID 3375441637, 969 clinicians
Hospitalist Medicine Physicians of Maryland PCGroup PAC ID 8729138003, 71 clinicians

Practice addresses (Care Compare)

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

2131 O St NW
Washington, DC 20037-1008
Phone (202) 785-2577

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

3200 Maccorkle Ave SE
Charleston, WV 25304-1227
Phone (304) 388-5432

3300 Gallows Rd
Falls Church, VA 22042-3307

400 W 7TH St
Frederick, MD 21701-4506
Phone (240) 566-3300

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960

Hospital & facility affiliations

  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
  • Charleston Area Medical Center Hospital, Charleston, WV, CCN 510022
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Camc Greenbrier Valley Medical Center, Inc Hospital, Ronceverte, WV, CCN 510002

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

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as apm
Quality
69.71
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
88.89 of 100Reported as group
Quality
83.16
Promoting interoperability
100
Improvement activities
40
Cost
79.79

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD600005574DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
Meritus Medical Center Inc Multi-Specialty CurrentSince Feb 9, 2025 Accepting new patients
Charleston Area Medical Center, Inc. Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
Inova Health Care Services Multi-Specialty CurrentSince Feb 1, 2024 Accepting new patients
Meritus Medical Center Inc Multi-Specialty Current Accepting new patients
Sinclair Physician Services, LLC Multi-Specialty CurrentSince Mar 18, 2024 Accepting new patients
Meritus Medical Center Inc Multi-Specialty CurrentSince Feb 9, 2025 Accepting new patients
Upper Valley Professional Corporation Multi-Specialty CurrentSince Jul 25, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Multi-Specialty CurrentSince Aug 19, 2025 Accepting new patients
Camden-Clark Physician Corporation Multi-Specialty CurrentSince Aug 27, 2024 Accepting new patients
Inova Health Care Services Multi-Specialty CurrentSince Feb 1, 2024 Accepting new patients
First Docs PC Multi-Specialty CurrentSince Jan 28, 2026 Accepting new patients
Hisey Physician Services, LLC Multi-Specialty CurrentSince May 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Multi-Specialty CurrentSince Apr 26, 2025 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Multi-Specialty Current Accepting new patients
Galen Inpatient Physicians PC Multi-Specialty Current Accepting new patients
Mvhe Inc Multi-Specialty CurrentSince Jul 25, 2023 Accepting new patients
Galen Inpatient Physicians PC Multi-Specialty CurrentSince Nov 1, 2025 Accepting new patients
Mvhe Inc Multi-Specialty Current Accepting new patients
Mvhe Inc Multi-Specialty CurrentSince Jul 25, 2023 Accepting new patients
Charleston Area Medical Center Inc Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2131 O St NW
Washington, DC 20037
Phone (202) 785-2577

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394

9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141

3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000

1460 G St
Springfield, OR 97477
Phone (541) 431-0665

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

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

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

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

3200 Maccorkle Ave SE
Charleston, WV 25304
Phone (304) 388-2550

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870

Interoperability endpoints

  • Direct secure messaging: hyadeta1175389@meritus.direct-ci.net

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1598384307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411009",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606743009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 O ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200371008",
            "telephone_number": "609-585-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-388-5432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Maplewood Ave",
            "address_purpose": "LOCATION",
            "city": "Ronceverte",
            "state": "WV",
            "postal_code": "249708016",
            "country_code": "US",
            "telephone_number": "304-647-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YADETA",
        "first_name": "HUNDAOL",
        "middle_name": "SHAMSAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-11",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "33306",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD600005574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598384307",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.