Individual provider Active NPI

Mesfin Gebremichael, M.D.

  • Pulmonary Disease Physician
  • Lanham, MD
National Provider Identifier
1609957430
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D0042354 Issued in MD
Practice address
9801 Greenbelt Rd
Suite 101
Lanham, MD 20706-2273
Phone
(301) 552-6666
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X D0042354 MD Primary

Addresses

Primary practice location

9801 Greenbelt Rd
Suite 101
Lanham, MD 20706-2273

Mailing address

203 Linton Knoll CT
Silver Spring, MD 20904-1270
Phone (301) 552-6666

Other identifiers 5

IdentifierTypeStateIssuer
5894029OtherMDAETNA
73153OtherMDAMERIGROUP
2102082OtherMDMAMSI
G469OtherMDCAREFIRST
P00174253OtherMDRAILROAD MEDICARE

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
I20141215000090 DC Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 4981637964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9801 Greenbelt Rd
Suite 101
Lanham, MD 20706-6264
Phone (301) 552-6666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0042354MDMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbelt Medical Associates Pulmonary Disease CurrentSince Aug 26, 2002 Accepting new patients
Southern Maryland Intensive Care, Inc. Past Accepting new patients
Cruz-Lee-Llacer & Associates P a Past Accepting new patients

Locations

9801 Greenbelt Rd
Ste 101
Lanham, MD 20706
Phone (301) 552-6666

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

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 5

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609957430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LINTON KNOLL CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041270",
            "telephone_number": "301-552-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GREENBELT RD",
            "address_2": "SUITE 101",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062273",
            "telephone_number": "301-552-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEBREMICHAEL",
        "first_name": "MESFIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0042354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5894029",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "73153",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2102082",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "G469",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00174253",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.