Active NPI
Mintesinot Achamyelehe, MD
- Family Medicine Physician
- Fredericksburg, VA
National Provider Identifier
1700588944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101288858
- Practice address
- 12006 Kilarney Dr
Fredericksburg, VA 22407-7207 - Phone
- (540) 786-9771
- NPI assigned
- Mar 21, 2023
- Last updated
- Aug 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101288858 | VA | Primary |
Addresses
Primary practice location
12006 Kilarney Dr
Fredericksburg, VA 22407-7207
Mailing address
1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940
Other practice location 1
12101 Carol Ln
Fredericksburg, VA 22407-6101
Phone (540) 418-6681
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230614000740 | VA | Order and Referring Only - Family Practice | 3173981792 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1340 Central Park Blvd
Suite 100
Fredericksburg, VA 22401-4940
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101288858 | VA | MD | Family Medicine Physician |
Interoperability endpoints
- machamyelehe105874@marywashingtonhealthcare.direct-ci.com
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
-
dba Stafford Hospital
- General Acute Care Hospital
- Stafford, VA
- NPI 1043343304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1700588944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 CENTRAL PARK BLVD STE 100",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12006 KILARNEY DR",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224077207",
"telephone_number": "540-786-9771"
}
],
"practiceLocations": [
{
"address_1": "12101 Carol Ln",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224076101",
"country_code": "US",
"telephone_number": "540-418-6681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACHAMYELEHE",
"first_name": "MINTESINOT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-21",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101288858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
- Access Medical Supply
- Access Mobility Equipment, LLC
- Access Service Facilitation LLC (Access Service Facilitation)
- Accident, Injury & Pain Wellness Center, P.C.
- Kenneth Accousti, M.D.
- Himani Acharya
- Achievement Rehabilitation Care (Virginia Healthcare Services)
- Marie Nicole Acker, OTR
- Carl Ackerman, MSW
- Darlene Ackerman, MS, CRC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.