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DR. DEREJE LEGESSE MD
NPI 1538150339
Internal Medicine in Alexandria, VA

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
8109 HINSON FARM ROAD, #504, ALEXANDRIA, VA 22306(703) 787-0280(703) 778-0046 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Dereje Legesse Md NPPES

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

DR. DEREJE LEGESSE MD (NPI 1538150339) is an individual internal medicine provider in Alexandria, Virginia, licensed in Virginia (0101235106) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Luminis Health Doctors Community Medical Ctr, Inc, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1538150339
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DEREJE LEGESSECredential: MD
Location Address8109 HINSON FARM ROAD, #504Alexandria, VA 22306-3427
Mailing Address2101 E Jefferson StRockville, MD 20852-4908
Phone(703) 787-0280
Fax(703) 778-0046
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 31, 2005
Last NPPES UpdateJune 17, 2021
NPPES CertifiedJune 17, 2021
✔ NPI 1538150339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101235106
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.

Other Identifiers 3

Medicaid010157234VA
OtherP00228902Rr Medicare
Medicaid1538150339VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dereje Legesse 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 ID8527950344
PECOS Enrollment IDI20090720000014, I20201016000509
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.

Medicare Billing Reassignment

Medicare enrollment records show Dereje Legesse reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Health Maintenance Organization
700 2ND ST NE
Washington, DC 20002
NPI 1093016933 (202) 898-5100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Luminis Health Doctors Community Medical Ctr, Inc

Acute Care Hospitals · Lanham, MD
2/5 CMS rating
OwnershipProprietary
CMS Certification Number210051
Location8118 Good Luck RoadLanham, MD 20706 · Prince Georges County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22306 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.

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 Dereje Legesse's NPI number?

The NPI number for Dereje Legesse is 1538150339. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Dereje Legesse located?

Dereje Legesse practices at 8109 Hinson Farm Road, #504, Alexandria, VA 22306. The listed phone number is (703) 787-0280.

What is Dereje Legesse's specialty?

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

Is Dereje Legesse enrolled in Medicare?

Yes. Dereje Legesse 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.

Which organization bills Medicare for Dereje Legesse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dereje Legesse reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dereje Legesse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dereje Legesse affiliated with any hospitals?

According to CMS data, Dereje Legesse is affiliated with Luminis Health Doctors Community Medical Ctr, Inc.

When was this NPI record last updated?

The NPPES record for Dereje Legesse was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.