EDOM ENDALE GENEMO MD
NPI 1255918124
Pediatrics in Fairfax, VA

Active since March 26, 2021PECOS Enrolled
8316 ARLINGTON BLVD STE 300, FAIRFAX, VA 22031(703) 468-4195(703) 280-9350 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 15, 2024, Mar 26, 2021 (2 updates tracked since 2021).

About Edom Endale Genemo Md NPPES

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

EDOM ENDALE GENEMO MD (NPI 1255918124) is an individual pediatrics provider in Fairfax, Virginia, licensed in Virginia (0101283017) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1255918124
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameEDOM ENDALE GENEMOCredential: MD
Location Address8316 ARLINGTON BLVD STE 300Fairfax, VA 22031-5216
Mailing Address8316 Arlington Blvd Ste 300Fairfax, VA 22031-5216 · (703) 573-2432
Fax(703) 280-9350
Sole ProprietorYes
Enumeration DateMarch 26, 2021
Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1255918124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in VA · 0101283017
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

8316 ARLINGTON BLVD STE 300, Fairfax, VA 22031

Secondary Practice Location 1

Location 12401 W Belvedere AveBaltimore, MD 21215-5216 · Phone (410) 601-7639

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edom Endale Genemo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 22031 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
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 8

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

Pediatrics
8316 ARLINGTON BLVD STE 300
FAIRFAX, VA 22031
Pediatrics
8316 ARLINGTON BLVD STE 300
FAIRFAX, VA 22031
Pediatrics
8316 ARLINGTON BLVD STE 300
FAIRFAX, VA 22031
Pediatrics
8316 ARLINGTON BLVD STE 300
FAIRFAX, VA 22031
Pediatrics
8316 ARLINGTON BLVD STE 300
FAIRFAX, VA 22031
Pediatrics
8316 ARLINGTON BLVD STE 300
FAIRFAX, VA 22031
Pediatrics
8316 ARLINGTON BLVD STE 300
FAIRFAX, VA 22031
Pediatrics
8316 ARLINGTON BLVD STE 300
FAIRFAX, VA 22031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255918124, enumerated as an "individual" on March 26, 2021.

The provider is located at 8316 ARLINGTON BLVD STE 300 FAIRFAX, VA 22031 and the phone number is (703) 468-4195.

Pediatrics with taxonomy code 208000000X.