Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255918124 Individual Practitioner Female Practitioner

Dr. Edom Endale Genemo , MD

Pediatrics • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Dr. Edom Genemo, MD is a registered healthcare professional specializing in Pediatrics in Fairfax, VA. Practice services are available at 8316 ARLINGTON BLVD STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8316 Arlington Blvd Ste 300

Fairfax, VA 220315216

Telephone 7034684195
Fax 7032809350

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
69 Specialists

Practicing in Fairfax, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-11
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101283017

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

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.

Secondary Practice Locations

2401 W Belvedere Ave

Baltimore, MD 212155216

Phone: 4106017639

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1073671129

Doctor of Medicine (M.D.)

NPI 1205996576

Doctor of Medicine (M.D.)

NPI 1295893741

Doctor of Medicine (M.D.)

NPI 1316526254

Doctor of Medicine (M.D.)

Nancy Runton , NP

Nurse Practitioner - Pediatrics

NPI 1467581629

Nurse Practitioner

NPI 1528104809

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 15, 2024

Registered at 8316 ARLINGTON BLVD STE 300, FAIRFAX, VA 220315216 (Tel: 7034684195)

📍
Updated Business Mailing Address July 15, 2024

Registered at 8316 ARLINGTON BLVD STE 300, FAIRFAX, VA 220315216 (Tel: 7035732432)

NPI Profile Active March 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2021

Registered at 2401 W BELVEDERE AVE, BALTIMORE, MD 212155216 (Tel: 4106017639)

📍
Updated Business Mailing Address March 26, 2021

Registered at 2401 W BELVEDERE AVE, BALTIMORE, MD 212155216 (Tel: 4106017639)

👤
Provider Name / Credentials Updated March 26, 2021

Recorded as EDOM GENEMO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 26, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255918124
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2021
Last Update: July 15, 2024
Sole Proprietor: Yes

Mailing Address

8316 Arlington Blvd Ste 300

Fairfax, VA 220315216

Phone: 7035732432

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.