GELANE GEMECHISA, MD, MD — NPI 1235576828 (Licensed & Credentialed Integrative Medicine in TYSONS CORNER, VA)

CMS-1500 Box 24J / 33a • NPI

1235576828

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

202D00000X

Licensed & Credentialed Integrative Medicine

Box 32 Service Location & ZIP+4

8000 TOWERS CRESCENT DR STE 1376, TYSONS CORNER, VA, 22182-6207

✓ 9-Digit EDI 837 ZIP+4 (22182-6207)

Practice Phone & Referral Fax

(202) 240-8504

Fax: (202) 998-9396

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1235576828 (GELANE GEMECHISA, MD, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1235576828` (NPI-1 Individual Practitioner)
Provider / Legal Name	GELANE GEMECHISA, MD, MD
Plain-English Specialty	Licensed & Credentialed Integrative Medicine NUCC Code: `202D00000X` (Integrative Medicine)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	8000 TOWERS CRESCENT DR STE 1376, TYSONS CORNER, VA, 22182-6207
Practice Telephone / Fax	Tel: (202) 240-8504 \| Fax: (202) 998-9396
Administrative Mailing Address	8000 TOWERS CRESCENT DR STE 1376, VIENNA, VA, 22182-6207
Enumeration & Last Sync	Enumerated: 2013-05-23 \| CMS Record Updated: 2025-01-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

8000 TOWERS CRESCENT DR STE 1376, TYSONS CORNER, VA, 22182-6207

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Plain-English Taxonomy & CMS Crosswalk (202D00000X)

What Does Taxonomy Code 202D00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 202D00000X translates to:
"Licensed & Credentialed Integrative Medicine"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Integrative Medicine for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (GELANE GEMECHISA, MD, MD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207Q00000X` — Family Medicine Plain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)	State: PA \| License: `MT204528` \| Primary: Secondary
`202D00000X` — Integrative Medicine Plain English: Licensed & Credentialed Integrative Medicine	State: DC \| License: `MD044596` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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GELANE GEMECHISA, MD, MD (NPI #1235576828)