Organization Active NPI

Liebna Medical Consultations PLLC

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1972833739
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD33521 Issued in DC
Legal business name
LIEBNA MEDICAL CONSULTATIONS PLLC
Practice address
1328 Southern Ave SE
Ste 205
Washington, DC 20032-4689
Phone
(202) 544-7744
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Dr. Zeleke Desse Kassahun, M.D.
Title
Sole MBR
Phone
(301) 717-4995

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD33521 DC Primary

Addresses

Primary practice location

1328 Southern Ave SE
Ste 205
Washington, DC 20032-4689

Mailing address

5021 Seminary Rd
Apt 1330
Alexandria, VA 22311-1945
Phone (301) 717-4995

Other identifiers 1

IdentifierTypeStateIssuer
699865800MedicaidMD

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1972833739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 SEMINARY RD",
            "address_2": "APT 1330",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111945",
            "telephone_number": "301-717-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 SOUTHERN AVE SE",
            "address_2": "STE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324689",
            "telephone_number": "202-544-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIEBNA MEDICAL CONSULTATIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "KASSAHUN",
        "authorized_official_first_name": "ZELEKE",
        "authorized_official_middle_name": "DESSE",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "301-717-4995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD33521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699865800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.