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BLUE NILE MEDICAL CENTER PC
NPI 1073544656
Internal Medicine in Alexandria, VA

Active since July 05, 2006CLIA 49D1000545 · Waiver
85 S BRAGG ST, SUITE 100, ALEXANDRIA, VA 22312(703) 845-0700(703) 794-2269 Get Directions Write a Review

NPPES record last updated: December 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blue Nile Medical Center Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE NILE MEDICAL CENTER PC (NPI 1073544656) is a healthcare organization registered as an internal medicine in Alexandria, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 20, 2026 and lists Tedla Anbessie, Physician, as its authorized official.

NPPES Registry Identity

NPI1073544656
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBLUE NILE MEDICAL CENTER PC
Location Address85 S BRAGG ST, SUITE 100Alexandria, VA 22312-2797
Mailing Address85 S Bragg St, Suite 100Alexandria, VA 22312-2797 · (703) 845-0700 · Fax (703) 794-2269
Phone(703) 845-0700
Fax(703) 794-2269
Organization SubpartNo
Authorized OfficialTedla AnbessiePhysician · (703) 845-0700
Enumeration DateJuly 5, 2006
Last NPPES UpdateDecember 6, 2011
✔ NPI 1073544656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
85 S BRAGG ST, Alexandria, VA 22312
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Other Identifiers 2

Medicare PINC09674
Medicare PING01742

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1000545

Blue Nile Medical Center, PC · Alexandria, VA
Active · expires Aug 20, 2026
CLIA Number49D1000545
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2024
Certificate Expiration DateAugust 20, 2026
Laboratory DirectorTedla B. Anbessie
Laboratory Phone(703) 845-0700
Laboratory LocationBlue Nile Medical Center, PC85 South Bragg Street, Suite 100, Alexandria, VA 22312
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BESTCHOICE HOME HEALTHCARE, LLC
Home Health
85 S BRAGG ST, SUITE 502
ALEXANDRIA, VA 22312
Fairfax County (703) 298-0911
AXON PHYSICAL THERAPY CLINIC, LLC
Specialist
85 S BRAGG ST, SUITE 504
ALEXANDRIA, VA 22312
Fairfax County (703) 399-1376
BAKERSON HATTON LLC
Durable Medical Equipment & Medical Supplies
85 S BRAGG ST, 102G
ALEXANDRIA, VA 22312
Fairfax County (703) 585-9936
DR. TESFAYE HAILEMARIAM D.D.S.
Dentist (General Practice)
85 S BRAGG ST, SUITE 300
ALEXANDRIA, VA 22312
Fairfax County (703) 256-7711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blue Nile Medical Center PC's NPI number?

The NPI number for Blue Nile Medical Center PC is 1073544656. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Blue Nile Medical Center PC located?

Blue Nile Medical Center PC is located at 85 S Bragg St Suite 100, Alexandria, VA 22312. The listed phone number is (703) 845-0700.

What is Blue Nile Medical Center PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Blue Nile Medical Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1000545) is associated with this NPI, valid through August 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blue Nile Medical Center PC was last updated on December 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.