Individual provider Active NPI

Alula Hailu Tesfay, MD

  • Diagnostic Radiology Physician
  • Washington, DC
National Provider Identifier
1801246665
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD049170 Issued in DC
Practice address
900 23Rd St NW
Washington, DC 20037-2342
Phone
(202) 715-4907
NPI assigned
Jun 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MD049170 DC
Student in an Organized Health Care Education/Training Program 390200000X 4301110460 MI
Diagnostic Radiology Physician 2085R0202X MD049170 DC Primary

Addresses

Primary practice location

900 23Rd St NW
Washington, DC 20037-2342

Mailing address

900 23Rd St NW
Washington, DC 20037-2342
Phone (202) 715-4907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210701001353 DC Practitioner - Diagnostic Radiology 1850682790 Reassigns benefits to 1 organization
I20220404001121 MD Practitioner - Diagnostic Radiology 1850682790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology P aGroup PAC ID 1254327950, 155 clinicians

Practice addresses (Care Compare)

104 Plumtree Rd
Suite 106
Bel Air, MD 21015-6095
Phone (410) 918-3300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Diagnostic Radiology, LLC Diagnostic Radiology Current Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Jun 18, 2021 Accepting new patients
Advanced Radiology P a Diagnostic Radiology CurrentSince Apr 1, 2022 Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

26999 Network Pl
Chicago, IL 60673

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

104 Plumtree Rd
Ste 106
Bel Air, MD 21015
Phone (410) 515-4000

4801 Dorsey Hall Dr
Ste 101
Ellicott City, MD 21042
Phone (443) 436-1600

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400

7253 Ambassador Rd
Windsor Mill, MD 21244
Phone (410) 281-9191

Interoperability endpoints

  • Direct secure messaging: atesfay914149@direct.umm.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1801246665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 23RD ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372342",
            "telephone_number": "202-715-4907",
            "fax_number": "202-715-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 23RD ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372342",
            "telephone_number": "202-715-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESFAY",
        "first_name": "ALULA",
        "middle_name": "HAILU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-13",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DC",
            "license": "MD049170",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301110460",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD049170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.