Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melat Dereje

Individual provider Physician Assistant · NPI 1376364497

Melat Dereje is a Physician Assistant in Manassas, Virginia. Qualified in 2024, 2 years ago. Practices with Greater Prince William Area Community Health Center Inc, a 27-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

9705 Liberia Ave
Manassas, VA 20110-1743
Phone: (703) 680-7950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1376364497
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 21, 2024
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address9705 Liberia Ave, Manassas, VA 20110-1743

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Greater Prince William Area Community Health Center Inc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manassas