NPIMap

Individual provider Active NPI

Tedla Anbessie, MD

  • Internal Medicine Physician
  • Alexandria, VA
National Provider Identifier
1972590743
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101058267 Issued in VA
Practice address
85 S Bragg St Ste 100
Alexandria, VA 22312-2793
Phone
(703) 845-0700
Fax
(703) 794-2269
NPI assigned
Oct 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101058267 VA Primary

Addresses

Primary practice location

85 S Bragg St Ste 100
Alexandria, VA 22312-2793

Mailing address

85 S Bragg St Ste 100
Alexandria, VA 22312-2793
Phone (703) 845-0057

Other practice location 1

2765 Richmond Hwy Ste 109
Stafford, VA 22554-8331
Phone (540) 657-9191

Other identifiers 4

IdentifierTypeStateIssuer
010096812MedicaidVA
P00220778OtherVARRMC
518598OtherMDNCPPO
K0520001OtherDCBC/BS DC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20040419000473 VA Practitioner - Internal MedicinePractitioner - General Practice 4183619117 Reassigns benefits to 4 organizations
I20041120000040 DC Practitioner - Internal Medicine 4183619117 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical and Urgent Care Center, PCGroup PAC ID 9234029463, 3 clinicians
Blue Nile Medical Center, P.C.Group PAC ID 1355304049, 3 clinicians

Practice addresses (Care Compare)

2765 Richmond Hwy
Suite 109
Stafford, VA 22554-8331
Phone (540) 657-9191

85 S S Bragg St
Suite 100
Alexandria, VA 22312-2793
Phone (703) 845-0700

Hospital & facility affiliations

  • Pro Healthcare Servicing LLC Home health agency, Fairfax, VA, CCN 497656
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140
  • Belmont Bay Rehabilitation and Healthcare Center Nursing home, Woodbridge, VA, CCN 495361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Five Star Physician Services, LLC Internal Medicine CurrentSince May 1, 2016 Accepting new patients
Medical & Urgent Care Center, PC Internal Medicine CurrentSince Feb 1, 2010 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Healthdrive Medical Services, PC Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Integrated Medical Care and Rehab.,PC Past Accepting new patients
Metro Behavioral Health Services PastSince Nov 1, 2004 Accepting new patients
Primary and Urgent Care LLC PastSince Jan 28, 2004 Accepting new patients

Locations

1300 I St NW
Ste 400E
Washington, DC 20005
Phone (202) 902-7324

8700 Jones Mill Rd
Chevy Chase, MD 20815
Phone (301) 350-5555

901 Elkridge Landing Rd
Ste 100
Linthicum Heights, MD 21090
Phone (800) 405-9681

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

4410 Claiborne Sq E
Ste 334
Hampton, VA 23666
Phone (757) 606-1377

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

2765 Richmond Hwy
Ste 109
Stafford, VA 22554
Phone (540) 657-9191

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

14906 Richmond Hwy
Woodbridge, VA 22191
Phone (609) 335-6595

Interoperability endpoints

  • Direct secure messaging: tanbessie35454@marywashingtonhealthcare.direct-ci.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The JeffersonArlington, VA, CCN 495269 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2024
Sep 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

Hospital & facility affiliations 8

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": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1972590743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122793",
            "telephone_number": "703-845-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122793",
            "telephone_number": "703-845-0700",
            "fax_number": "703-794-2269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2765 Richmond Hwy Ste 109",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225548331",
            "country_code": "US",
            "telephone_number": "540-657-9191",
            "fax_number": "540-657-0986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANBESSIE",
        "first_name": "TEDLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101058267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010096812",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00220778",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "518598",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS DC",
            "identifier": "K0520001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.