Organization Active NPI

Capital Stroke Neurology Inc

  • Neurology Physician
  • Potomac, MD
National Provider Identifier
1861956930
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CAPITAL STROKE NEUROLOGY INC
Practice address
10820 Gainsborough Rd
Potomac, MD 20854-2595
Phone
(443) 646-5001
Fax
(410) 257-7042
NPI assigned
Jan 23, 2019
Last updated
Jun 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Authorized official

Name
Dr. Ermias Aytenfisu Mekonnen, MDNPI 1346436276
Title
Owner
Phone
(703) 626-7213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

10820 Gainsborough Rd
Potomac, MD 20854-2595

Mailing address

10820 Gainsborough Rd
Potomac, MD 20854-2595
Phone (443) 646-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190328001100 DC Part B Supplier - Clinic/Group Practice 5496095499 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD
O20260205001323 TX Part B Supplier - Clinic/Group Practice 5496095499 Receives reassigned benefits from 1 practitioner
Practice locations: Edinburg, TX; McAllen, TX

National Provider Directory

National Provider Directory
Tax ID family
Capital Stroke Neurology Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1861956930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 GAINSBOROUGH RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542595",
            "telephone_number": "443-646-5001",
            "fax_number": "410-257-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 GAINSBOROUGH RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542595",
            "telephone_number": "443-646-5001",
            "fax_number": "410-257-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL STROKE NEUROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "MEKONNEN",
        "authorized_official_first_name": "ERMIAS",
        "authorized_official_middle_name": "AYTENFISU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-626-7213",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.