Individual provider Active NPI

Daniel A Mesfin, CRNP

  • Family Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1639779432
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R199545 Issued in MD
Practice address
8455 Colesville Rd Ste 1125
Silver Spring, MD 20910-3315
Phone
(301) 869-9776
NPI assigned
Oct 30, 2020
Last updated
Jul 18, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R199545 MD Primary

Addresses

Primary practice location

8455 Colesville Rd Ste 1125
Silver Spring, MD 20910-3315

Mailing address

15825 Shady Grove Rd Ste 140
Rockville, MD 20850-4015
Phone (202) 276-6696

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
I20210430001655 DC Practitioner - Nurse Practitioner 3476962572 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R199545MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Ped Health Care LLC CurrentSince Jan 28, 2021 Accepting new patients
Express Healthcare, LLC CurrentSince Jan 28, 2021 Accepting new patients
Express Healthcare, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6201 Greenbelt Rd
Berwyn Heights, MD 20740
Phone (301) 345-2290

6201 Greenbelt Rd
Ste M15
Berwyn Heights, MD 20740
Phone (301) 441-1112

6201 Greenbelt Rd
Ste M16
Berwyn Heights, MD 20740
Phone (301) 441-4400

4701 Melbourne Pl
College Park, MD 20740
Phone (301) 345-4400

6305 Castle Pl
Ste 2D
Falls Church, VA 22044
Phone (703) 344-8355

1980 Gallows Rd
Ste 100
Vienna, VA 22182
Phone (703) 356-9899

Interoperability endpoints

  • Direct secure messaging: daniel.mesfin.1@19581.direct.athenahealth.com
  • Direct secure messaging: daniel.mesfin@cpcl.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/19581/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1639779432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15825 SHADY GROVE RD STE 140",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208504015",
            "telephone_number": "202-276-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 COLESVILLE RD STE 1125",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103315",
            "telephone_number": "301-869-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESFIN",
        "first_name": "DANIEL",
        "middle_name": "A",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.