Active NPI
Yeheyis T. Negussie MD PC
- Internal Medicine Physician
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0045471
- Legal business name
- YEHEYIS T. NEGUSSIE MD PC
- Practice address
- 8604 2ND Ave
Silver Spring, MD 20910-3326 - Phone
- (301) 565-3440
- Fax
- (301) 565-3455
- NPI assigned
- May 24, 2007
- Last updated
- Jun 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yeheyis T. Negussie, M.D.
- Title
- Owner
- Phone
- (301) 565-3440
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0045471 | MD | Primary |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026730200 | Medicaid | DC | |
| 200300700 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0998024 | Yeheyis Negussie MD PC | Certificate of waiver | Apr 2, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1179964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1932310851",
"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"
},
{
"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": {
"organization_name": "YEHEYIS T. NEGUSSIE MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-24",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "NEGUSSIE",
"authorized_official_first_name": "YEHEYIS",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-565-3440",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0045471",
"primary": true
}
],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.