Organization Active NPI

Nile Healthcare

  • Internal Medicine Physician
  • Alexandria, VA
National Provider Identifier
1861437105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101238116 Issued in VA
Legal business name
NILE HEALTHCARE
Practice address
4600 King St
Suite 4E
Alexandria, VA 22302-1277
Phone
(703) 845-0700
Fax
(703) 998-8115
NPI assigned
Jun 19, 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
Tedla Anbessie, M.D.
Title
Physician
Phone
(703) 845-0700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 0101238116 VA Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 0101233011 VA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 0101058267 VA

Addresses

Primary practice location

4600 King St
Suite 4E
Alexandria, VA 22302-1277

Mailing address

4600 King St
Suite 4E
Alexandria, VA 22302-1277
Phone (703) 845-0700

National Provider Directory

National Provider Directory

Locations

4600 King St
Ste 4E
Alexandria, VA 22302
Phone (703) 690-4975

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861437105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 KING ST",
            "address_2": "SUITE 4E",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021277",
            "telephone_number": "703-845-0700",
            "fax_number": "703-998-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 KING ST",
            "address_2": "SUITE 4E",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021277",
            "telephone_number": "703-845-0700",
            "fax_number": "703-998-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANBESSIE",
        "authorized_official_first_name": "TEDLA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "703-845-0700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101238116",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101233011",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101058267",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.