Individual provider Active NPI

Binyam Dessie, M.D

  • General Practice Physician
  • South Hill, VA
National Provider Identifier
1750775151
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101264005 Issued in VA
Practice address
1225 Tanglewood Dr
South Hill, VA 23970-1009
Phone
(571) 357-8204
NPI assigned
Mar 24, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101264005 VA
General Practice Physician 208D00000X 0101264005 VA Primary

Addresses

Primary practice location

1225 Tanglewood Dr
South Hill, VA 23970-1009

Mailing address

1225 Tanglewood Dr
South Hill, VA 23970-1009
Phone (571) 357-8204

Other practice location 1

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-7040

Other practice location 2

420 Durant St
South Hill, VA 23970
Phone (434) 584-0046

Other identifiers 1

IdentifierTypeStateIssuer
0101264005OtherVASTATE LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180808002149 VA Practitioner - Pediatric Medicine 8527316447 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101264005VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC CurrentSince Jul 1, 2018 Accepting new patients
Danville Physician Practices LLC CurrentSince Apr 1, 2025 Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince Nov 22, 2025 Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince Nov 22, 2025 Accepting new patients
MCV Associated Physicians Pediatrics CurrentSince Jul 30, 2024 Accepting new patients
Danville Physician Practices LLC Pediatrics CurrentSince Apr 1, 2025 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
CMH Physician Services, LLC CurrentSince Jul 1, 2018 Accepting new patients
Bbeads of America LLC General Practice CurrentSince Aug 17, 2025 Accepting new patients
Signify Health, LLC General Practice CurrentSince Nov 22, 2025 Accepting new patients
Kidzcare Pediatrics, PC Pediatrics Past Accepting new patients
Confidant Providers LLC Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

201 S Main St
Ste 2100
Danville, VA 24541
Phone (434) 799-2111

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

2025 E Main St
Ste 105
Richmond, VA 23223
Phone (804) 253-1968

719 N 25th St
Richmond, VA 23223
Phone (804) 253-1969

1000 E Broad St
Richmond, VA 23219

2809 North Ave
Ste 206
Richmond, VA 23222
Phone (804) 525-1818

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

420 Durant St
South Hill, VA 23970
Phone (434) 447-3315

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1750775151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 TANGLEWOOD DR",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701009",
            "telephone_number": "571-357-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 TANGLEWOOD DR",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239701009",
            "telephone_number": "571-357-8204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Lyons Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "973-926-7040",
            "fax_number": "973-926-6452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Durant St",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "23970",
            "country_code": "US",
            "telephone_number": "434-584-0046",
            "fax_number": "434-333-7035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESSIE",
        "first_name": "BINYAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101264005",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101264005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0101264005",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Hill, VA

Sources for this page

Verify at the official NPI Registry.