Active NPI
Abyssinia Medical Center LLC
- Internal Medicine Physician
- Alexandria, VA
National Provider Identifier
1679199194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ABYSSINIA MEDICAL CENTER LLC
- Practice address
- 4660 Kenmore Ave Ste 200
Alexandria, VA 22304-1306 - Phone
- (703) 957-9749
- NPI assigned
- Jun 20, 2020
- Last updated
- Feb 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melat Baye
- Title
- Managing Director
- Phone
- (703) 944-7580
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Infectious Disease Physician | 207RI0200X |
Addresses
Primary practice location
4660 Kenmore Ave Ste 200
Alexandria, VA 22304-1306
Mailing address
4660 Kenmore Ave Ste 200
Alexandria, VA 22304-1306
Phone (703) 957-9749
National Provider Directory
National Provider DirectoryLocations
8200 Greensboro Dr
Ste 910
Mc Lean, VA 22102
Interoperability endpoints
- https://api.platform.athenahealth.com/23671/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613520000000",
"number": "1679199194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE STE 200",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041306",
"telephone_number": "703-957-9749",
"fax_number": "703-717-0578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 KENMORE AVE STE 200",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041306",
"telephone_number": "703-957-9749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABYSSINIA MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-20",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A",
"authorized_official_last_name": "BAYE",
"authorized_official_first_name": "MELAT",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "703-944-7580"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.