Individual provider Active NPI

Selamawit Belay Abegaz

  • Obstetrics & Gynecology Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1619794047
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
R228940 Issued in MD
Practice address
61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone
(301) 663-6171
NPI assigned
Sep 25, 2024
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X R228940 MD Primary

Addresses

Primary practice location

61 Thomas Johnson Dr
Frederick, MD 21702-4301

Mailing address

10741 Venetia Mill Cir
Silver Spring, MD 20901-1584
Phone (301) 213-4470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20241230000236 MD Practitioner - Nurse Practitioner 5395272520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

3430 Worthington Blvd
Suite 202
Urbana, MD 21704-7019
Phone (240) 699-0003

504 E Ridgeville Blvd
Mount Airy, MD 21771-5942

61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone (301) 663-6171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women's Care, L.L.C. Current Accepting new patients
Capital Women's Care, L.L.C. CurrentSince Nov 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

504 E Ridgeville Blvd
Ste 108
Mount Airy, MD 21771
Phone (301) 663-6171

3430 Worthington Blvd
Ste 202
Urbana, MD 21704
Phone (240) 699-0003

5801 Postal Rd
Unit 81310
Cleveland, OH 44181

Interoperability endpoints

  • Direct secure messaging: selamawit.abegaz.p1@direct.cwcare.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1619794047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10741 VENETIA MILL CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011584",
            "telephone_number": "301-213-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 THOMAS JOHNSON DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024301",
            "telephone_number": "301-663-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABEGAZ",
        "first_name": "SELAMAWIT",
        "middle_name": "BELAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MD",
            "license": "R228940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.