Active NPI
Abebe Haregewoin, M.D.
- Radiation Oncology Physician
- Silver Spring, MD
National Provider Identifier
1750459590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 79781
- Practice address
- 11030 Amherst Ave
Silver Spring, MD 20902-7627 - Phone
- (919) 401-7254
- NPI assigned
- Dec 1, 2006
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 79781 | MA | Primary |
Addresses
Primary practice location
11030 Amherst Ave
Silver Spring, MD 20902-7627
Mailing address
11030 Amherst Ave
Silver Spring, MD 20902-7627
Phone (919) 401-7254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79781 | MA | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1750459590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11030 AMHERST AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209027627",
"telephone_number": "919-401-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11030 AMHERST AVE",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209027627",
"telephone_number": "919-401-7254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAREGEWOIN",
"first_name": "ABEBE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MA",
"license": "79781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.