Genesis Eldercare Physician Services Llc - Medicare Primary Care in Arlington, VA

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Genesis Eldercare Physician Services Llc is a medicare enrolled primary clinic (Internal Medicine) in Arlington, Virginia. The current practice location for Genesis Eldercare Physician Services Llc is 1785 S Hayes St, Arlington, Virginia. For appointments, you can reach them via phone at (703) 920-5700. The mailing address for Genesis Eldercare Physician Services Llc is Po Box 62946, Baltimore, Maryland and phone number is (410) 494-7607.

Genesis Eldercare Physician Services Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1588690135. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (703) 920-5700.

Contact Information

Genesis Eldercare Physician Services Llc
1785 S Hayes St
Arlington
VA 22202
(703) 920-5700
(410) 543-8492

Map and Direction


Primary Care Clinic Profile

Full NameGenesis Eldercare Physician Services Llc
SpecialityInternal Medicine
Location1785 S Hayes St, Arlington, Virginia
Authorized Official Name and PositionEric Shapiro (VICE PRESIDENT)
Authorized Official Contact4108327790
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Genesis Eldercare Physician Services Llc
Po Box 62946
Baltimore
MD 21264-2946

Ph: (410) 494-7607		Genesis Eldercare Physician Services Llc
1785 S Hayes St
Arlington
VA 22202

Ph: (703) 920-5700

NPI Details:

NPI Number1588690135
Provider Enumeration Date06/24/2006
Last Update Date08/05/2019

Medicare PECOS Information:

Medicare PECOS PAC ID9830002534
Medicare Enrollment IDO20040407001004

Medical Identifiers

Medical identifiers for Genesis Eldercare Physician Services Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588690135NPI-NPPES
036556400MedicaidDE
KQ54GEOtherMHBCBS OF MARYLAND GP #
B018OtherDCBCBS OF NATIONAL CAPITOL
999320700MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Genesis Eldercare Physician Services Llc acts as a billing entity for following providers:
Provider NameEllen R Mcinerney
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235176157
PECOS PAC ID: 8527951144
Enrollment ID: I20040205001267
Provider NameKelson Figaro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831128750
PECOS PAC ID: 1759275340
Enrollment ID: I20040416001180
Provider NameGerri Davis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235276833
PECOS PAC ID: 9638123516
Enrollment ID: I20050712000584
Provider NameNicole R Richardson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023000775
PECOS PAC ID: 4688563273
Enrollment ID: I20050919001087
Provider NameMuhammad A Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568575074
PECOS PAC ID: 6800814559
Enrollment ID: I20051110000695
Provider NameShadi Soufi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326250705
PECOS PAC ID: 5991895203
Enrollment ID: I20071226000069
Provider NameSandra B Shaheed
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275738965
PECOS PAC ID: 5294819256
Enrollment ID: I20080228000647
Provider NameUzochukwu W Unegbu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104006360
PECOS PAC ID: 3375677339
Enrollment ID: I20100813000191
Provider NameNader Tavakoli-jalili
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407059413
PECOS PAC ID: 0143272922
Enrollment ID: I20100921000678
Provider NameMulugeta Gebreegzi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366510778
PECOS PAC ID: 3678767001
Enrollment ID: I20101029001131
Provider NameJennifer Lee Riedinger
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144265877
PECOS PAC ID: 8921140252
Enrollment ID: I20101123000066
Provider NameKirandeep Kaur
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073742102
PECOS PAC ID: 1153445143
Enrollment ID: I20110324000472
Provider NameJosjin Vazhappilly
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851520936
PECOS PAC ID: 8820283583
Enrollment ID: I20110324000498
Provider NameShirene Bennett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932383288
PECOS PAC ID: 4385785971
Enrollment ID: I20110505000504
Provider NameMillicent M Edgar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437452760
PECOS PAC ID: 5991981326
Enrollment ID: I20110518000717
Provider NameJose G Martinez
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417907858
PECOS PAC ID: 6608861778
Enrollment ID: I20120120000542
Provider NameStephanie A Joy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134425028
PECOS PAC ID: 0042495244
Enrollment ID: I20120307000024
Provider NameCarrie A Dana-evans
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548536675
PECOS PAC ID: 4183887540
Enrollment ID: I20120531000378
Provider NameAddisu M Temesgen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386971927
PECOS PAC ID: 4183812266
Enrollment ID: I20120625000642
Provider NameMichael J Warren
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710245220
PECOS PAC ID: 9032374814
Enrollment ID: I20120629000017
Provider NameMateen Awan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316918303
PECOS PAC ID: 0446298731
Enrollment ID: I20121105000086
Provider NameRita U Ntosi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700153210
PECOS PAC ID: 1759548332
Enrollment ID: I20121115000186
Provider NameKaren Ann Cousins
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1912921453
PECOS PAC ID: 1456381474
Enrollment ID: I20130130000377
Provider NameSuela Kaba
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730383571
PECOS PAC ID: 1557558814
Enrollment ID: I20130228000205
Provider NameArnulfo B Bonavente
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619973534
PECOS PAC ID: 7517154982
Enrollment ID: I20130424000034
Provider NameAli M Yahya
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013934181
PECOS PAC ID: 8022141803
Enrollment ID: I20131115000013
Provider NameSadia N Baqai
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1144556846
PECOS PAC ID: 2961544671
Enrollment ID: I20141118000153
Provider NameBradley Snyder
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558762062
PECOS PAC ID: 8426349986
Enrollment ID: I20160614001781
Provider NameShahana Karim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275591141
PECOS PAC ID: 6800067083
Enrollment ID: I20160713000341
Provider NameMariechantal Fletcher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992944847
PECOS PAC ID: 9335437672
Enrollment ID: I20161019001533
Provider NameSameer Tajudden Shaik Abdul
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700033883
PECOS PAC ID: 8921270620
Enrollment ID: I20161214001209
Provider NameSharad Satyal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033177852
PECOS PAC ID: 4880659143
Enrollment ID: I20161221000237
Provider NameArun Raghunath
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821222530
PECOS PAC ID: 6204003700
Enrollment ID: I20170202000855
Provider NameWajahath Mohsini
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1467637751
PECOS PAC ID: 5698834455
Enrollment ID: I20170310001510
Provider NameVirginie Chebou Ngantchon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194764514
PECOS PAC ID: 9436176609
Enrollment ID: I20170324001255
Provider NameHemen Shah
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821002601
PECOS PAC ID: 2466487897
Enrollment ID: I20170801003292
Provider NameKaren Vancamp
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003272840
PECOS PAC ID: 3375847155
Enrollment ID: I20170921000624
Provider NameNattile Clarke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811374515
PECOS PAC ID: 7810299740
Enrollment ID: I20180223000307
Provider NameKristen Lynn Gordy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811332307
PECOS PAC ID: 5799912234
Enrollment ID: I20180305002581
Provider NameSibte A Kazmi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861451361
PECOS PAC ID: 5193611887
Enrollment ID: I20180726001331
Provider NameWondwossen Bekele
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205221223
PECOS PAC ID: 8325396005
Enrollment ID: I20180814000385
Provider NameCarla Schell Bowling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013439561
PECOS PAC ID: 9133493216
Enrollment ID: I20180917000311
Provider NameJohanna Devine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801377304
PECOS PAC ID: 2668717380
Enrollment ID: I20181227000068
Provider NameAhsan Afzal
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316263692
PECOS PAC ID: 1052553914
Enrollment ID: I20190221001798
Provider NameJennifer Mays
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942209069
PECOS PAC ID: 5890741532
Enrollment ID: I20190625000883
Provider NameBibi Aysha Siddhika
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720264658
PECOS PAC ID: 9739467226
Enrollment ID: I20190729001054
Provider NameKuroush Aligholizadeh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144734492
PECOS PAC ID: 2860754470
Enrollment ID: I20191029002663
Provider NameKatherine E Daugherty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912464819
PECOS PAC ID: 4486997988
Enrollment ID: I20191219000508
Provider NameIdowu Awolusi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669036836
PECOS PAC ID: 3375979776
Enrollment ID: I20200210000072
Provider NameKwabena Asante
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235602905
PECOS PAC ID: 6305175100
Enrollment ID: I20200225000262
Provider NameOdette Solange Kemvo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952949299
PECOS PAC ID: 1951730928
Enrollment ID: I20200326003898
Provider NameSoukeye Niang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881159093
PECOS PAC ID: 6406287358
Enrollment ID: I20200511001063
Provider NameBelinda Tyler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366067555
PECOS PAC ID: 0244653699
Enrollment ID: I20200702000741
Provider NameYusra Azmi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1659786671
PECOS PAC ID: 1557636529
Enrollment ID: I20200824002198
Provider NameMalik Rehman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568483493
PECOS PAC ID: 2365472057
Enrollment ID: I20200903003789
Provider NameCynthia Safo-mensa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164011698
PECOS PAC ID: 6608283601
Enrollment ID: I20210318000049
Provider NamePeris Lango
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891343182
PECOS PAC ID: 8123435575
Enrollment ID: I20210331001752
Provider NameNgum Avwontom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972173904
PECOS PAC ID: 1658778881
Enrollment ID: I20211001000020
Provider NameLauren Anne Mackenzie
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295490225
PECOS PAC ID: 3173912961
Enrollment ID: I20211117001032
Provider NameAshley Naugler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053075655
PECOS PAC ID: 8123417862
Enrollment ID: I20211117003324
Provider NameSolange Bih
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669736237
PECOS PAC ID: 2365832417
Enrollment ID: I20211203000007
Provider NameCatheline Odia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942882865
PECOS PAC ID: 6901297159
Enrollment ID: I20211223000074
Provider NameHolly Nilsson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295408581
PECOS PAC ID: 8628475670
Enrollment ID: I20220308000994
Provider NameMuhammad Naeem
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710186291
PECOS PAC ID: 0345337671
Enrollment ID: I20220504000076
Provider NameMelissa Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750730222
PECOS PAC ID: 7618263021
Enrollment ID: I20220520000131
Provider NameJulie Adeoye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821757840
PECOS PAC ID: 8224416664
Enrollment ID: I20220526000536
Provider NameAmanda Ruch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326430414
PECOS PAC ID: 5395065668
Enrollment ID: I20220530000084
Provider NameCyriac Nchang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427589878
PECOS PAC ID: 1254750193
Enrollment ID: I20221019001307
Provider NameSusanne Walkford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336432269
PECOS PAC ID: 5496994733
Enrollment ID: I20221130001634
Provider NameElizabeth Raywer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063835239
PECOS PAC ID: 3870725245
Enrollment ID: I20230323001040
Provider NameMonica Lovins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861732331
PECOS PAC ID: 9739319724
Enrollment ID: I20230328003081
Provider NameMusu Komeyan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730752486
PECOS PAC ID: 1355702804
Enrollment ID: I20230731001777
Provider NameJacqueline Ryan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851360192
PECOS PAC ID: 8224222039
Enrollment ID: I20230907002367
Provider NameLiaqat Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700857232
PECOS PAC ID: 3577459502
Enrollment ID: I20230911001818
Provider NameHumaira Siddiqui
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093976177
PECOS PAC ID: 1456485754
Enrollment ID: I20231002000125
Provider NameAnita Uche Akewusola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407633274
PECOS PAC ID: 2668821034
Enrollment ID: I20231211002310
Provider NameLazinia L Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881457554
PECOS PAC ID: 9537504915
Enrollment ID: I20240226000188
Provider NameSabrina Ngong
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851854244
PECOS PAC ID: 7012241854
Enrollment ID: I20240318001479
Provider NameSuzette Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386258929
PECOS PAC ID: 5597135418
Enrollment ID: I20240509001703
Provider NameAzra Ahmed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326014788
PECOS PAC ID: 2163449620
Enrollment ID: I20240708002720
Provider NameKimberly Griffin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982943551
PECOS PAC ID: 8224261268
Enrollment ID: I20240711000709
Provider NameLinda Kunowsky
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265429435
PECOS PAC ID: 2860488582
Enrollment ID: I20241001004543
Provider NameMalcolm Winkle
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1629574173
PECOS PAC ID: 1658733225
Enrollment ID: I20241212002300
Provider NameJared Muhati
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760703185
PECOS PAC ID: 7719003110
Enrollment ID: I20250129001068

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.