Individual ProviderMelaku TesfayeInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307(703) 776-3582(571) 423-5699PECOS EnrollmentBased on the most recent information from CMS, provider Melaku Tesfaye is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:37 AM.Profile DetailsProvider ID1245659028Provider TypeIndividualFull NameTesfaye, MelakuTitleDr.CredentialMDGenderMaleSole ProprietorYesEnumeration Date4/9/2014Last Updated8/10/2022Contact InformationPractice LocationPractice Address3300 Gallows Rd, Falls Church, VA 22042-3307Phone(703) 776-3582Fax(703) 776-3020Mailing LocationMailing AddressPO Box 37174, Baltimore, MD 21297-3174Phone(571) 423-5699Fax(571) 423-5698Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101273808VirginiaCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense25MA09834500New Jersey