NPIMap

Individual provider Active NPI

Yeheyis Tassew Negussie, M.D.

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1831122647
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0045471 Issued in MD
Practice address
8604 2ND Ave
Silver Spring, MD 20910-3326
Phone
(301) 565-3440
Fax
(301) 565-3455
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0045471 MD Primary
Internal Medicine Physician 207R00000X 21540 DC

Addresses

Primary practice location

8604 2ND Ave
Silver Spring, MD 20910-3326

Mailing address

13136 Brushwood Way
Potomac, MD 20854-1025
Phone (301) 565-3440

Other identifiers 2

IdentifierTypeStateIssuer
026730200MedicaidDC
200300700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100604000363 DC Practitioner - Internal Medicine 3779612452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6410 Rockledge Dr
Bethesda, MD 20817-1844

8604 2ND Ave
Silver Spring, MD 20910-3326
Phone (301) 565-3440

Hospital & facility affiliations

  • Holy Cross Home Care and Hospice Home health agency, Silver Spring, MD, CCN 217030
  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004
  • Autumn Lake Healthcare at Arcola Nursing home, Silver Spring, MD, CCN 215014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21540DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yeheyis T. Negussie MD PC Internal Medicine CurrentSince Mar 6, 2010 Accepting new patients
Holy Cross Health, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
901 Arcola Avenue Opco LLC Past Accepting new patients
Hospital Physician Services, LLLP Internal Medicine Past Accepting new patients

Locations

8604 2nd Ave
Silver Spring, MD 20910
Phone (301) 565-3440

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDIBAA/Endpoint/GDIBAA

Organizations & group practices 6

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 5

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1831122647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13136 BRUSHWOOD WAY",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541025",
            "telephone_number": "301-565-3440",
            "fax_number": "301-565-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 2ND AVE",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103326",
            "telephone_number": "301-565-3440",
            "fax_number": "301-565-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGUSSIE",
        "first_name": "YEHEYIS",
        "middle_name": "TASSEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0045471",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "21540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026730200",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200300700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.