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MARIAMAWIT KEBEDE TILAHUN
NPI 1639024227
Physician Assistant in Alexandria, VA

Active since February 28, 2026PECOS Enrolled
3610 KING ST STE D, ALEXANDRIA, VA 22302(855) 910-3278 Get Directions Write a Review

NPPES record last updated: February 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mariamawit Kebede Tilahun NPPES

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

MARIAMAWIT KEBEDE TILAHUN (NPI 1639024227) is an individual physician assistant in Alexandria, Virginia and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (2025).

NPPES Registry Identity

NPI1639024227
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIAMAWIT KEBEDE TILAHUN
Location Address3610 KING ST STE DAlexandria, VA 22302-1908
Mailing Address10980 Grantchester WayColumbia, MD 21044-6097 · (410) 772-6500
Phone(855) 910-3278
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2025
Enumeration DateFebruary 28, 2026
NPPES CertifiedFebruary 28, 2026
✔ NPI 1639024227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
3610 KING ST STE D, Alexandria, VA 22302
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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)

Mariamawit Kebede Tilahun is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183190754
PECOS Enrollment IDI20260421001083
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 22302 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.

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.

PORNTIP NEER NP
Nurse Practitioner (Family)
3610 KING ST STE D
ALEXANDRIA, VA 22302
Alexandria City (855) 910-3278
MISS VICTORIA CIOFFI FNP-BC
Nurse Practitioner (Family)
3610 KING ST STE D
ALEXANDRIA, VA 22302
Alexandria City (855) 910-3278

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 Mariamawit Tilahun's NPI number?

The NPI number for Mariamawit Tilahun is 1639024227. It was assigned to this individual provider in the NPPES registry on February 28, 2026.

Where is Mariamawit Tilahun located?

Mariamawit Tilahun practices at 3610 King St Ste D, Alexandria, VA 22302. The listed phone number is (855) 910-3278.

What is Mariamawit Tilahun's specialty?

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

Is Mariamawit Tilahun enrolled in Medicare?

Yes. Mariamawit Tilahun is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariamawit Tilahun was last updated on February 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.