SELAMAWIT BELAY ABEGAZ — NPI 1619794047 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in FREDERICK, MD)

CMS-1500 Box 24J / 33a • NPI

1619794047

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

363LX0001X (CMS 50)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

61 THOMAS JOHNSON DR, FREDERICK, MD, 21702-4301

✓ 9-Digit EDI 837 ZIP+4 (21702-4301)

Practice Phone & Referral Fax

(301) 663-6171

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619794047 (SELAMAWIT BELAY ABEGAZ) 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	`1619794047` (NPI-1 Individual Practitioner)
Provider / Legal Name	SELAMAWIT BELAY ABEGAZ
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `363LX0001X` (Nurse Practitioner, Obstetrics & Gynecology)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	61 THOMAS JOHNSON DR, FREDERICK, MD, 21702-4301
Practice Telephone / Fax	Tel: (301) 663-6171
Administrative Mailing Address	10741 VENETIA MILL CIR, SILVER SPRING, MD, 20901-1584
Enumeration & Last Sync	Enumerated: 2024-09-25 \| CMS Record Updated: 2024-09-25

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

61 THOMAS JOHNSON DR, FREDERICK, MD, 21702-4301

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Plain-English Taxonomy & CMS Crosswalk (363LX0001X)

What Does Taxonomy Code 363LX0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363LX0001X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 50 (Nurse Practitioner)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SELAMAWIT BELAY ABEGAZ)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`363LX0001X` — Nurse Practitioner, Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: MD \| License: `R228940` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SELAMAWIT BELAY ABEGAZ (NPI #1619794047)