DR. KASSA AYALEW M.D.
NPI 1962516179
Pediatrics in Alexandria, VA

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
62.13/100
CMS Quality Rating
4921 SEMINARY RD, SUITE 115, ALEXANDRIA, VA 22311(703) 778-9998 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kassa Ayalew M.d. NPPES

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

DR. KASSA AYALEW M.D. (NPI 1962516179) is an individual pediatrics provider in Alexandria, Virginia, licensed in Virginia (0101233921) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Falls Church, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1962516179
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KASSA AYALEWCredential: M.D.
Location Address4921 SEMINARY RD, SUITE 115Alexandria, VA 22311-1838
Mailing Address4921 Seminary Rd, Suite 115Alexandria, VA 22311-1838 · (703) 778-9998
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 7, 2023
NPPES CertifiedJuly 7, 2023
✔ NPI 1962516179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101233921
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.
4921 SEMINARY RD, Alexandria, VA 22311

Secondary Practice Location 1

Location 1502 W Broad St Ste 2Falls Church, VA 22046-3206 · Phone (571) 421-8431

Other Identifiers 1

Medicaid010140129VA

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. Kassa Ayalew M.d. 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 ID1658311972
PECOS Enrollment IDI20050505001067, I20230718003847
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 Reassignments

2

Medicare enrollment records show Kassa Ayalew reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
5000 COX RD, SUITE 100
Glen Allen, VA 23060
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 263 clinicians in this Medicare group
Hospitalist
2100 N 7TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Virginia enrollment
  • 528 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.

Areas of Expertise CMS Part B claims 13

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
34 services34 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
25 services25 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
24 services12 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22311 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.

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.

62.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.43
Promoting Interoperability0
Improvement Activities40
Cost84.66

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.

Durable Medical Equipment & Medical Supplies (Customized Equipment)
4921 SEMINARY RD, SUITE 114
ALEXANDRIA, VA 22311
Internal Medicine
4921 SEMINARY RD, 117
ALEXANDRIA, VA 22311

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 Kassa Ayalew's NPI number?

The NPI number for Kassa Ayalew is 1962516179. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Kassa Ayalew located?

Kassa Ayalew practices at 4921 Seminary Rd Suite 115, Alexandria, VA 22311. The listed phone number is (703) 778-9998.

What is Kassa Ayalew's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kassa Ayalew enrolled in Medicare?

Yes. Kassa Ayalew 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 Kassa Ayalew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kassa Ayalew reassigns Medicare benefits to 2 organizations: Patient First Richmond Medical Group PLLC (Glen Allen, VA) and Southeastern Intensivist Services PC (West Memphis, AR). 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 Kassa Ayalew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kassa Ayalew was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.