NPIMap

Organization Active NPI

Greenbelt Medical Associates

  • Pulmonary Disease Physician
  • Lanham, MD
National Provider Identifier
1710068549
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
D0042354 Issued in MD
Legal business name
GREENBELT MEDICAL ASSOCIATES
Practice address
9801 Greenbelt Rd
Suite 101
Lanham, MD 20706-2273
Phone
(301) 552-6666
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mesfin Gebremichael, M.D.NPI 1609957430
Title
Sole Proprietor
Phone
(301) 552-6666

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
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X D0042354 MD Primary

Addresses

Primary practice location

9801 Greenbelt Rd
Suite 101
Lanham, MD 20706-2273

Mailing address

203 Linton Knoll CT
Silver Spring, MD 20904-1270
Phone (301) 552-6666

Other identifiers 5

IdentifierTypeStateIssuer
P00174253OtherMDRAILROAD MEDICARE
5894029OtherMDAETNA
73153OtherMDAMERIGROUP
G469 0001OtherMDCAREFIRST
2102082OtherMDMAMSI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050427000530 DC Part B Supplier - Clinic/Group Practice 6204875461 Receives reassigned benefits from 2 practitioners
Practice locations: Lanham, MD

National Provider Directory

National Provider Directory

Locations

9801 Greenbelt Rd
Lanham, MD 20706
Phone (443) 559-1875

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710068549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LINTON KNOLL CT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041270",
            "telephone_number": "301-552-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GREENBELT RD",
            "address_2": "SUITE 101",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062273",
            "telephone_number": "301-552-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBELT MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEBREMICHAEL",
        "authorized_official_first_name": "MESFIN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "301-552-6666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0042354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00174253",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5894029",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "73153",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "G469 0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2102082",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.