Individual provider Active NPI

Libanos Girmay Berhe, APRN-CNP

  • Nurse Practitioner
  • Washington, DC
National Provider Identifier
1629602636
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN1031739 Issued in DC
Practice address
2150 Pennsylvania Ave NW FL 7
Washington, DC 20037-3201
Phone
(202) 741-2700
Fax
(202) 741-2721
NPI assigned
Feb 28, 2020
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024178465 VA
Nurse Practitioner 363L00000X RN1031739 DC Primary

Addresses

Primary practice location

2150 Pennsylvania Ave NW FL 7
Washington, DC 20037-3201

Mailing address

2150 Pennsylvania Ave NW FL 7
Washington, DC 20037-3201
Phone (202) 741-2700

Other practice location 1

1625 N George Mason Dr Ste 345
Arlington, VA 22205-3690
Phone (703) 717-4400

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL EMR
Direct Messaging Address lberhe92455@direct.virginiahospitalcenter.net Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200520000920 DC Practitioner - Nurse Practitioner 4183055494 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1625 N George Mason Dr
425 VHC Phy GRP OB Hospitalists
Arlington, VA 22205-3686
Phone (703) 717-4502

1701 N George Mason Dr
Arlington, VA 22205-3698

1715 N George Mason Dr
Arlington, VA 22205-3642

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024178465VAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group, LLC CurrentSince Mar 7, 2022 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Mar 7, 2022 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Sep 21, 2022 Accepting new patients
District Hospital Partners L P CurrentSince Apr 14, 2020 Accepting new patients
District Hospital Partners LP CurrentSince Apr 14, 2020 Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients

Locations

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

2150 Pennsylvania Ave NW
Fl 7
Washington, DC 20037
Phone (202) 741-2700

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

1625 N George Mason Dr
Ste 345
Arlington, VA 22205
Phone (703) 717-4400

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

1715 N George Mason Dr
Ste 107
Arlington, VA 22205
Phone (703) 527-1400

Interoperability endpoints

  • Direct secure messaging: lberhe36040@gwmfa.direct-ci.com
  • Direct secure messaging: lberhe92455@direct.virginiahospitalcenter.net

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1629602636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW FL 7",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-741-2700",
            "fax_number": "202-714-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PENNSYLVANIA AVE NW FL 7",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200373201",
            "telephone_number": "202-741-2700",
            "fax_number": "202-741-2721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 N George Mason Dr Ste 345",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222053690",
            "country_code": "US",
            "telephone_number": "703-717-4400",
            "fax_number": "703-717-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERHE",
        "first_name": "LIBANOS",
        "middle_name": "GIRMAY",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024178465",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "RN1031739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "address_1": "900 23rd St NW",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200372342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lberhe92455@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "1625 N George Mason Dr Ste 345",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222053690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.