Individual provider Active NPI

Martha Tesfahun, FNP

  • Nurse Practitioner
  • New York, NY
National Provider Identifier
1932747359
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
357365 Issued in NY
Practice address
489 5TH Ave FL 3
New York, NY 10017-6145
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Dec 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 357365 NY Primary
Family Nurse Practitioner 363LF0000X 0024178440 VA

Addresses

Primary practice location

489 5TH Ave FL 3
New York, NY 10017-6145

Mailing address

30 Owens Glen CT
North Potomac, MD 20878-2300
Phone (301) 503-3718

Other practice location 1

4600 Langston Blvd
Arlington, VA 22207
Phone (571) 492-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200304001328 DC Practitioner - Nurse Practitioner 9537596515 Reassigns benefits to 5 organizations
I20200529001676 VA Practitioner - Nurse Practitioner 9537596515 Reassigns benefits to 3 organizations
I20220112002109 MD Practitioner - Nurse Practitioner 9537596515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Practice addresses (Care Compare)

11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094

24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500

4600 Langston Blvd
Arlington, VA 22207-3415
Phone (571) 492-3080

750 Rockville Pike
Rockville, MD 20852-1133
Phone (301) 424-0658

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
357365NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care, LLC CurrentSince Dec 5, 2021 Accepting new patients
CRH MD Management, LLC CurrentSince Dec 3, 2024 Accepting new patients
Inova Health Care Services Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 5, 2021 Accepting new patients
CRH MD Management LLC CurrentSince Dec 3, 2024 Accepting new patients
Inova Health Care Services CurrentSince Feb 10, 2020 Accepting new patients
True North Health Navigation LLC CurrentSince May 1, 2024 Accepting new patients
CRH MD Management LLC CurrentSince Dec 3, 2024 Accepting new patients
Inova Health Care Services CurrentSince Feb 10, 2020 Accepting new patients
Inova Ucc LLC CurrentSince Nov 15, 2022 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Inova Health Care Services CurrentSince Feb 10, 2020 Accepting new patients
True North Health Navigation LLC Past Accepting new patients
Dispatchhealth NV Wagner PC Past Accepting new patients

Locations

590 Lanier Ave W
Fayetteville, GA 30214

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

750 Rockville Pike
Rockville, MD 20852
Phone (301) 424-0658

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

4600 Langston Blvd
Arlington, VA 22207
Phone (571) 492-3080

6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

2425 Centreville Rd
Ste 7
Herndon, VA 20171
Phone (571) 376-4000

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

8000 Westpark Dr
Ste 130
Mc Lean, VA 22102
Phone (702) 848-4443

7200 Glen Forest Dr
Ste 106
Richmond, VA 23226
Phone (804) 495-0053

1951 Kidwell Dr
Ste 101
Vienna, VA 22182
Phone (571) 348-4721

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Interoperability endpoints

  • Direct secure messaging: mtesfahun245857@soc.inova.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1932747359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 OWENS GLEN CT",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782300",
            "telephone_number": "301-503-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 5TH AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176145",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Langston Blvd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "22207",
            "country_code": "US",
            "telephone_number": "571-492-3080",
            "fax_number": "571-492-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TESFAHUN",
        "first_name": "MARTHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "357365",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.