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EYOEL YOHANNES FANTAYE MD
NPI 1083356190
Internal Medicine in Germantown, MD

Active since April 09, 2022PECOS EnrolledAccepts Medicare Assignment
20410 OBSERVATION DR STE 210, GERMANTOWN, MD 20876(301) 407-1466 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eyoel Yohannes Fantaye Md NPPES

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

EYOEL YOHANNES FANTAYE MD (NPI 1083356190) is an individual internal medicine provider in Germantown, Maryland, licensed in Maryland (D0102163) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1083356190
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEYOEL YOHANNES FANTAYECredential: MD
Location Address20410 OBSERVATION DR STE 210Germantown, MD 20876-6422
Mailing Address20410 Observation Dr Ste 210Germantown, MD 20876-6422 · (301) 407-1466 · Fax (301) 417-4941
Phone(301) 407-1466
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 9, 2022
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1083356190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0102163
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.
20410 OBSERVATION DR STE 210, Germantown, MD 20876
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eyoel Yohannes Fantaye Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769982420
PECOS Enrollment IDI20250826002994
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20876 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

COMPREHENSIVE PRIMARY CARE AND ASSOCIATES, LLC
Internal Medicine
20410 OBSERVATION DR STE 210
GERMANTOWN, MD 20876
Montgomery County (301) 407-1466
NANCY Q NGUYEN PHYSICIAN ASSISTANT
Physician Assistant
20410 OBSERVATION DR STE 210
GERMANTOWN, MD 20876
Montgomery County (301) 407-1466

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 Eyoel Fantaye's NPI number?

The NPI number for Eyoel Fantaye is 1083356190. It was assigned to this individual provider in the NPPES registry on April 9, 2022.

Where is Eyoel Fantaye located?

Eyoel Fantaye practices at 20410 Observation Dr Ste 210, Germantown, MD 20876. The listed phone number is (301) 407-1466.

What is Eyoel Fantaye's specialty?

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

Is Eyoel Fantaye enrolled in Medicare?

Yes. Eyoel Fantaye is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eyoel Fantaye was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.