FISEHA M GEBREGIORGIS PAC
NPI 1245525344
Physician Assistant - Medical in Rockville, MD

Active since June 16, 2011PECOS EnrolledAccepts Medicare Assignment
1235 POTOMAC VALLEY RD, ROCKVILLE, MD 20850(872) 231-3162 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 25, 2025, Sep 18, 2025 (2 updates tracked since 2025).

About Fiseha M Gebregiorgis Pac NPPES

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

FISEHA M GEBREGIORGIS PAC (NPI 1245525344) is an individual medical provider in Rockville, Maryland, licensed in Maryland (C0004466) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare Shady Grove Medical Center, and maintains a secondary practice location in Riverdale.

NPPES Registry Identity

NPI1245525344
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameFISEHA M GEBREGIORGISCredential: PAC
Location Address1235 POTOMAC VALLEY RDRockville, MD 20850-2757
Mailing AddressPo Box 22239New York, NY 10087-0001 · (702) 899-0595 · Fax (702) 977-1496
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJune 16, 2011
Last NPPES UpdateNovember 25, 20252 updates tracked since enumeration
NPPES CertifiedNovember 25, 2025
NPI 1245525344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MD · C0004466
1235 POTOMAC VALLEY RD, Rockville, MD 20850

Secondary Practice Location 1

Location 14409 E West HwyRiverdale, MD 20737-1058 · Phone (301) 699-2000

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

Fiseha M Gebregiorgis Pac 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 ID2961671953
PECOS Enrollment IDI20120822000133, I20180829000116, I20240614001315, I20240624001001, I20240911000241, I20240925000464, I20251203004610, I20251215003256, I20260522002360
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.

Areas of Expertise CMS Part B claims 22

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
1,272 services1,272 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,008 services655 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
847 services588 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
603 services598 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
603 services598 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
581 services581 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210057
Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 19

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

Registered Nurse
1235 POTOMAC VALLEY RD
ROCKVILLE, MD 20850
Licensed Practical Nurse
1235 POTOMAC VALLEY RD
ROCKVILLE, MD 20850
Optometrist
1235 POTOMAC VALLEY RD
ROCKVILLE, MD 20850
Health Educator
1235 POTOMAC VALLEY RD
ROCKVILLE, MD 20850
Skilled Nursing Facility
1235 POTOMAC VALLEY RD
ROCKVILLE, MD 20850
Nurse Practitioner
1235 POTOMAC VALLEY RD
ROCKVILLE, MD 20850
Occupational Therapist (Physical Rehabilitation)
1235 POTOMAC VALLEY RD
ROCKVILLE, MD 20850
Occupational Therapy Assistant
1235 POTOMAC VALLEY RD
ROCKVILLE, MD 20850

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 Fiseha Gebregiorgis's NPI number?

The NPI number for Fiseha Gebregiorgis is 1245525344. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Fiseha Gebregiorgis located?

Fiseha Gebregiorgis practices at 1235 Potomac Valley Rd, Rockville, MD 20850. The listed phone number is (872) 231-3162.

What is Fiseha Gebregiorgis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Fiseha Gebregiorgis enrolled in Medicare?

Yes. Fiseha Gebregiorgis 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.

Is Fiseha Gebregiorgis affiliated with any hospitals?

According to CMS data, Fiseha Gebregiorgis is affiliated with Adventist Healthcare Shady Grove Medical Center.

When was this NPI record last updated?

The NPPES record for Fiseha Gebregiorgis was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.