DR. ABAYNEH ERMIAS WELDETSADIK NURSE PRACTITIONER
NPI 1790011591
Nurse Practitioner - Family in Herndon, VA
About Dr. Abayneh Ermias Weldetsadik Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ABAYNEH ERMIAS WELDETSADIK NURSE PRACTITIONER (NPI 1790011591) is an individual family provider in Herndon, Virginia, licensed in Virginia (0024184586) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and maintains a secondary practice location in Rochester.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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. Abayneh Ermias Weldetsadik Nurse Practitioner 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.
Medicare Billing Reassignments
2Medicare enrollment records show Abayneh Weldetsadik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia enrollment
- 113 clinicians in this Medicare group
Vienna, VA 22180
- Reassigned Medicare billing, Virginia and District of Columbia enrollments
- Also billed through NPI 1669511051 (District of Columbia)
- 2,379 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Inova Fairfax Hospital
Acute Care Hospitals · Falls Church, VAInova Fair Oaks Hospital
Acute Care Hospitals · Fairfax, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20170 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Abayneh Weldetsadik's NPI number?
The NPI number for Abayneh Weldetsadik is 1790011591. It was assigned to this individual provider in the NPPES registry on October 29, 2009.
Where is Abayneh Weldetsadik located?
Abayneh Weldetsadik practices at 1062 Elden St, Herndon, VA 20170. The listed phone number is (703) 471-7000.
What is Abayneh Weldetsadik's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Abayneh Weldetsadik enrolled in Medicare?
Yes. Abayneh Weldetsadik 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 organizations bill Medicare for Abayneh Weldetsadik's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abayneh Weldetsadik reassigns Medicare benefits to 2 organizations: Fair Oaks Hospitalist Physicians, PLLC (Fairfax, VA) and Inova Health Care Services (Vienna, VA). Each 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 Abayneh Weldetsadik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Abayneh Weldetsadik accept?
Health plans from Oscar Health list Abayneh Weldetsadik as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Abayneh Weldetsadik affiliated with any hospitals?
According to CMS data, Abayneh Weldetsadik is affiliated with Inova Fairfax Hospital and Inova Fair Oaks Hospital.
When was this NPI record last updated?
The NPPES record for Abayneh Weldetsadik was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Abayneh Ermias Weldetsadik, NURSE PRACTITIONER · NPI 1790011591
Family physician in Herndon, Virginia. Individual provider, active in the CMS NPPES registry since October 29, 2009.
## Identity
- **NPI:** 1790011591 (Entity type: Individual)
- **Enumerated:** October 29, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024184586 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1062 ELDEN ST, Herndon, VA 20170-3803
- **Phone:** (703) 471-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fair Oaks Hospitalist Physicians, PLLC (NPI 1275601205, Fairfax, VA); Inova Health Care Services (NPI 1275886418, Vienna, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1790011591) · Data from the CMS NPPES public registry.