Russom Bariaghaber Ghebrai, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD035237 Issued in DC

Practice address

1310 Southern Ave SE
Washington, DC 20032-4623

Phone

(202) 574-7077

Fax

(202) 574-7156

NPI assigned

Oct 29, 2006

Last updated

Dec 5, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

25.75 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

85.82

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Apex Comprehensive Medical Service Professional Corporation

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1386440410
  Medicare reassignment NPD
• It Hospitalist Services

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1669942983
  Medicare reassignment NPD
• M Medical Group, Inc.

  • Critical Care Medicine (Internal Medicine) Physician
  • Clinton, MD
  • NPI 1780056168

  DC

  Medicare reassignment NPD
• First Care Medical Services Corporation

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1740735794
  Authorized official Same address or phone
• Selam Medical Service LLC

  • Adolescent Medicine (Internal Medicine) Physician
  • Washington, DC
  • NPI 1982930517
  Authorized official Same address or phone
• Sunrise Comprehensive Medical SVC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1053223784
  Authorized official Same address or phone
• M Medical Group, Inc.

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1447076203
  NPD
• Capitol City SNF LLC

  dba Capitol City Rehab And Healthcare Center

  • Skilled Nursing Facility
  • Washington, DC
  • NPI 1760028427
  NPD (past)
• Greater Southeast Community Hospital Corp I

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1588736656
  NPD (past)
• Not-for-Profit Hospital Corporation

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1801104732
  NPD (past)

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449273600000",
    "number": "1598841819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10533 PENNYDOG LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024161",
            "telephone_number": "301-502-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SOUTHERN AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324623",
            "telephone_number": "202-574-7077",
            "fax_number": "202-574-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEBRAI",
        "first_name": "RUSSOM",
        "middle_name": "BARIAGHABER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-29",
        "last_updated": "2015-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD035237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parnia Ghazanfari, PA-C
• Adline Ghazi, M.D.
• Kimia Ghaznavi, M.D.
• Hamza Ghazzal, MD
• Ziad Ghazzawi, MD
• Hirut Ghebray
• Frezghi Woldemichael Ghebreab, M.D.
• Zaid Ghebreab, PCA
• Sabiela Tecle Ghebreghergis
• Johanna Ghebrehiwet-Kuflom, MD CANDIDATE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.