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ALAZAR KASSA FEDLU
NPI 1508631011
Physician Assistant in Reston, VA

Active since November 15, 2023PECOS Enrolled
2260 STONE WHEEL DR APT E, RESTON, VA 20191(571) 478-7770 Get Directions Write a Review

NPPES record last updated: November 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alazar Kassa Fedlu NPPES

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

ALAZAR KASSA FEDLU (NPI 1508631011) is an individual physician assistant in Reston, Virginia, licensed in Virginia (0110009519) and active in the NPI registry since November 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508631011
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALAZAR KASSA FEDLU
Location Address2260 STONE WHEEL DR APT EReston, VA 20191-3126
Mailing Address2260 Stone Wheel Dr Apt EReston, VA 20191-3126 · (571) 478-7770
Phone(571) 478-7770
Sole ProprietorNo
Enumeration DateNovember 15, 2023
NPPES CertifiedNovember 15, 2023
✔ NPI 1508631011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110009519
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2260 STONE WHEEL DR APT E, Reston, VA 20191
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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 (PECOS)

Alazar Kassa Fedlu 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 20191 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
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alazar Fedlu's NPI number?

The NPI number for Alazar Fedlu is 1508631011. It was assigned to this individual provider in the NPPES registry on November 15, 2023.

Where is Alazar Fedlu located?

Alazar Fedlu practices at 2260 Stone Wheel Dr Apt E, Reston, VA 20191. The listed phone number is (571) 478-7770.

What is Alazar Fedlu's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Alazar Fedlu enrolled in Medicare?

Yes. Alazar Fedlu is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alazar Fedlu was last updated on November 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.