NPIMap

Individual provider Active NPI

Desalegn Abraham

  • Medical Physician Assistant
  • Lanham, MD
National Provider Identifier
1891198149
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0005436 Issued in MD
Practice address
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone
(301) 552-8130
NPI assigned
Oct 1, 2014
Last updated
Nov 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0005436 MD Primary

Addresses

Primary practice location

8118 Good Luck Rd
Lanham, MD 20706-3574

Mailing address

PO Box 418056
Doctors Community Medical Group LLC
Boston, MA 02241-8056
Phone (301) 552-8135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141212001643 MD Practitioner - Physician Assistant 2163744574 Reassigns benefits to 1 organization
Practice locations: Baltimore, MD
I20150226001499 DC Practitioner - Physician Assistant 2163744574 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Medical Group LLCGroup PAC ID 0749644177, 102 clinicians
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

13908 New Hampshire Ave
Silver Spring, MD 20904-6212
Phone (301) 388-7700

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

19801 Observation Dr
Germantown, MD 20876-4070
Phone (301) 557-5928

3320 Benson Ave
Halethorpe, MD 21227-1035
Phone (667) 600-2600

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (330) 493-4443

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0005436MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Abeneazer Therapy, Limited Liability Company Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Sep 14, 2025 Accepting new patients
M&D Healing Home Healthcare Solution LLC Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Sep 14, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2018 Accepting new patients
Doctors Community Medical Group LLC Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Organizations & group practices 11

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

Hospital & facility affiliations 1

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1891198149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418056",
            "address_2": "DOCTORS COMMUNITY MEDICAL GROUP LLC",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418056",
            "telephone_number": "301-552-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063574",
            "telephone_number": "301-552-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "DESALEGN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0005436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.