Sisay Dejene · Internal Medicine Physician

316 Rolling Valley Dr, Fredericksburg, VA 22405-1266

Overview

Sisay Dejene is a Internal Medicine Physician practicing in Fredericksburg, Virginia. The National Provider Identifier (NPI) is #1558821876, which was assigned on March 22, 2019, and the registration record was last updated on September 26, 2022. The practitioner's main practice location is at 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762; the contact telephone number is 5404984000. The primary taxonomy of Sisay Dejene is Internal Medicine Physician (207R00000X). Sisay Dejene is licensed to practice in the state of Virginia (#0101274818).

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Provider Information

NPI 1558821876
Entity Type Individual
Provider Name SISAY DEJENE
Gender Male
Credential MD
Practice Address 4600 Spotsylvania Pkwy
Fredericksburg
VA 22408-7762
Practice Telephone 5404984000
Mailing Address 316 Rolling Valley Dr
Fredericksburg
VA 22405-1266
Mailing Telephone 7035934733
Certification Date 2022-09-26
Enumeration Date 2019-03-22
Last Update Date 2022-09-26
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 1557730165
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name SISAY G DEJENE
Primary Specialty HOSPITALIST
Organization Legal Name HOSPITAL MEDICINE SERVICES OF VA LLC
Address 4600 Spotsylvania Pkwy
Fredericksburg
VA 22408-7762

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N390200000XStudent in an Organized Health Care Education/Training Program
Y207R00000XInternal Medicine0101274818VA

Secondary Practice Locations

AddressTelephoneFax
327 Beach 19th St, Far Rockaway, NY 1169144237188697000

Taxonomy Information

Primary Taxonomy

Code 207R00000X
Taxonomy Internal Medicine Physician
Classification Internal Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Other Taxonomy

Code 390200000X
Taxonomy Student in an Organized Health Care Education/Training Program
Classification Student in an Organized Health Care Education/Training Program
Grouping Student, Health Care
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

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Location Information

Street Address 316 ROLLING VALLEY DR
City FREDERICKSBURG
State VA
Zip Code 22405-1266
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Soft Hands Home Health Care LLC 200 Morton Rd, Fredericksburg, VA 22405-1492Home Health Agency2024-03-05
Life Impact Healthcare Services LLC 454 Cambridge St, Fredericksburg, VA 22405-1455Respite Care2025-09-20
Conscious Healing, Inc. 450 Solomon Dr Ste 101, Fredericksburg, VA 22405-1364Substance Use Disorder Rehabilitation Clinic/Center2021-02-10
Laila Mackenzie Polk 306 Cambridge St, Fredericksburg, VA 22405-1400Behavior Technician2026-02-16
Anjelika Saez 242 Butler Rd Ste 101, Fredericksburg, VA 22405-2441Massage Therapist2026-03-20
Rebekah Adalyn Conrad 450 Solomon Dr Ste 101, Fredericksburg, VA 22405-1329Addiction (Substance Use Disorder) Counselor2025-09-10
Daneth Colley 406 Chatham Square Office Park, Frederickburg, VA 22405Family Nurse Practitioner2024-11-01
Laura Robles 67 Hunton Dr, Fredericksburg, VA 22405-2138Assistant Behavior Analyst2016-12-26
Safehands Reliable Transportation 509 Rivers Edge Dr, Fredericksburg, VA 22405-1298Transportation Broker2025-10-22
Doxa Consults and Services LLC 107 Bancroft Dr, Fredericksburg, VA 22405-1206Community/Behavioral Health Agency2025-11-13
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.