Belen Tesfaye (NPI# 1225349020, PAC ID# 0749579951) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GASTROENTEROLOGY.
| Nation Provider ID (NPI) | 1225349020 |
| PAC ID by PECOS | 0749579951 |
| Professional Enrollment ID | I20160920000417 |
| Full Name | Belen Tesfaye |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Address |
18121 Georgia Ave Suite 103 Olney MD 20832-1437 |
| Phone Number | 3019335050 |
| Gender | F |
| Graduation Year | 2004 |
| Primary Specialty | GASTROENTEROLOGY |
| Group Practice PAC ID | 4385682061 |
| Number of Group Practice Members | 969 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210022 | SUBURBAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 18121 Georgia Ave, Suite 103, Olney, MD 20832-1437 | 3019335050 | PRIVIA MEDICAL GROUP,LLC |
| 1201 Seven Locks Rd, 111 Pmg_rimg_rockville Office', Rockville, MD 20854-2957 | 3017625020 | PRIVIA MEDICAL GROUP,LLC |
| 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 | 3019172191 | PRIVIA MEDICAL GROUP,LLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Physicians | 987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Jones-sheppard | Nurse Practitioner | Privia Medical Group,llc | 3903 Fair Ridge Dr, Suite 219, Fairfax, VA 22033-2945 |
| Ryan Timothy Pyles | Physician Assistant | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Emily Christine Stano | Psychologist, Clinical | Privia Medical Group,llc | 1901 Research Blvd, Suite 160, Rockville, MD 20850-6122 |
| Deidre Ann Fisher | Nurse Practitioner | Privia Medical Group,llc | 7505 Democracy Blvd, A113, Bethesda, MD 20817-1238 |
| Stephanie Carter | Family Medicine | Privia Medical Group,llc | 3650 Joseph Swck Dr, 205b All Female Obgyn LLC, Fairfax, VA 22033-1710 |
| Anita Sikand | Obstetrics/gynecology | Privia Medical Group,llc | 2440 M Street, 320 Pmg_cwhp_dc Office', Washington, DC 20037-1473 |
| Alicia Morgan-cooper | Pediatric Medicine | Privia Medical Group,llc | One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432 |
| Carrie S Goodrich | Nurse Practitioner | Privia Medical Group,llc | 142 Smithfield Rd, Saint Stephens Church, VA 23148-2129 |
| Jonathan L Siddon | Internal Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Burcin U Fraser | Allergy/immunology | Privia Medical Group,llc | 1360 Beverly Rd, Suite 103, Mclean, VA 22101-3621 |
| Street Address |
18121 GEORGIA AVE SUITE 103 |
| City | OLNEY |
| State | MD |
| Zip | 20832-1437 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tik Ka Lisa Ng | Family Medicine | Medical and Wellness Center of Olney | 4000 Rt, Suite 108, Olney, MD 20832 |
| Alok Mathur | Internal Medicine | Medical and Wellness Center of Olney | 4000 Rt, Suite 108, Olney, MD 20832 |
| Nalini D Harry | Nurse Practitioner | Medical and Wellness Center of Olney | 4000 Rt, Suite 108, Olney, MD 20832 |
| Marc E Goldberg | Podiatry | Family Foot and Ankle Associates of Maryland, P.a. | 3408 Olandwood Ct, Suite 204, Olney, MD 20832-1367 |
| Adam B Lowy | Podiatry | Family Foot and Ankle Associates of Maryland, P.a. | 3408 Olandwood Ct, Suite 204, Olney, MD 20832-1367 |
| Christopher P. Farnworth | Podiatry | Family Foot and Ankle Associates of Maryland, P.a. | 3408 Olandwood Ct, Suite 204, Olney, MD 20832-1367 |
| Johny Edappully | Family Medicine | 3416 Olandwood Ct, Suite 207, Olney, MD 20832-1373 | |
| Dang Nguyen | Physical Medicine and Rehabilitation | Advanced Pain Management Specialists LLC | 3416 Olandwood Ct, Suite 204, Olney, MD 20832-1373 |
| Nicholas J Tannous | Physical Medicine and Rehabilitation | Advanced Pain Management Specialists LLC | 3416 Olandwood Ct, Suite 204, Olney, MD 20832-1373 |
| David Antonio Rodriguez | Physical Medicine and Rehabilitation | Advanced Pain Management Specialists LLC | 3416 Olandwood Ct, Suite 204, Olney, MD 20832-1373 |
| Find all physicians in zip 20832 | |||
| City | OLNEY |
| Zip Code | 20832 |
| Specialty | GASTROENTEROLOGY |
| City + Specialty | OLNEY + GASTROENTEROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.