Organization Active NPI

Meklit Workneh,MD, PA

  • Internal Medicine Physician
  • Greenbelt, MD
National Provider Identifier
1679503064
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0062116 Issued in MD
Legal business name
MEKLIT WORKNEH,MD, PA
Practice address
7705 Belle Point Dr
Greenbelt, MD 20770-3300
Phone
(301) 220-1371
Fax
(301) 220-1372
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Authorized official

Name
Meklit Workneh, M.D.NPI 1639157118
Title
Sole Proprietor
Phone
(301) 220-1371

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0062116 MD Primary

Addresses

Primary practice location

7705 Belle Point Dr
Greenbelt, MD 20770-3300

Mailing address

13305 Big Cedar LN
Bowie, MD 20720-5609
Phone (301) 860-1195

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080319000401 DC Part B Supplier - Clinic/Group Practice 0840376661 Receives reassigned benefits from 1 practitioner
Practice locations: Greenbelt, MD

National Provider Directory

National Provider Directory

Locations

7705 Belle Point Dr
Greenbelt, MD 20770
Phone (301) 220-1371

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1679503064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13305 BIG CEDAR LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207205609",
            "telephone_number": "301-860-1195",
            "fax_number": "301-220-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7705 BELLE POINT DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703300",
            "telephone_number": "301-220-1371",
            "fax_number": "301-220-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEKLIT WORKNEH,MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "WORKNEH",
        "authorized_official_first_name": "MEKLIT",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "301-220-1371",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0062116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.