Active NPI
Liebna Medical Consultations PLLC
- Internal Medicine Physician
- Washington, DC
National Provider Identifier
1972833739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD33521
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 699865800 | Medicaid | MD |
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.
-
- Podiatrist
- Suitland, MD
- NPI 1508876327
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.