C. Emmanuel Ayers, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Brandywine, MD
NPI 1063564458 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1063564458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- D0070960 (MD)
- Practice address
- 7450 Albert Rd
Brandywine, MD 20613-3035 - Phone
- (301) 888-2233
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Meharry Medical College School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Skilled Facility Health Care Solutions Inc
Practice addresses (Care Compare)
1090 Vermont Ave NW
910 Skilled Wound Care
Washington, DC 20005-4953
Phone (310) 445-5999
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 291 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in DC, MD, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131207000110 | DC | Practitioner - Obstetrics/Gynecology | 5395762066 | Reassigns benefits to 3 organizations |
| I20190813000134 | MD | Practitioner - Obstetrics/Gynecology | 5395762066 | Reassigns benefits to 3 organizations |
| I20260414000822 | VA | Practitioner - Obstetrics/Gynecology | 5395762066 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0349049 | DC | MD | Obstetrics & Gynecology Physician |
| 4301120119 | MI | MD | Obstetrics & Gynecology Physician |
| 036109654 | IL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skilled Biologics, Inc. | Current |
Accepting new patients | |
| Skilled Facility Health Care Solutions Inc | Current |
Accepting new patients | |
| Circle Family Healthcare Network, Inc | Past | Accepting new patients | |
| Solid Rock Care Center II | General Practice | Past | Accepting new patients |
| Human Enhancement Services NFP | Past | Accepting new patients | |
| Moore OBGYN LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387
12021 Wilshire Blvd
Los Angeles, CA 90025
Phone (310) 348-1900
4901 Connecticut Ave NW
Washington, DC 20008
Phone (202) 965-6564
1090 Vermont Ave NW
Ste 910
Washington, DC 20005
7 Saint Paul St
Ste 820
Baltimore, MD 21202
Phone (800) 370-6351
12230 Roundwood Rd
Timonium, MD 21093
Phone (410) 252-0880
Interoperability endpoints
- c.emmanuel.ayers.1@22446.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036109654 | IL | |
| General Practice Physician | 208D00000X | 036109654 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | D0070960 | MD | Yes |
| Obstetrics & Gynecology Physician | 207V00000X | MD0349049 | DC | |
| Obstetrics & Gynecology Physician | 207V00000X | 4301120119 | MI |
Addresses
Primary practice location
7450 Albert Rd
Brandywine, MD 20613-3035
Mailing address
4025 S Dakota Ave NE
Washington, DC 20018-3253
Phone (773) 383-9777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0070960 | Medicaid | MD | |
| 0349049 | Medicaid | DC | |
| 036109654 | Medicaid | IL | |
| 4301120119 | Medicaid | MI |
Other providers in Brandywine, MD
- Taiwo Akinsanya
- Ally Infusion, LLC
- Anesthesia Company, LLC
- Mykisha Avery
- Ozichukwu Awusah
- Rosanna Bailey
- Cecilia L Baker
- Lisa Miranda Baker
- Felicien Bandolo Olougou
- Hyun J Bang
All providers in Brandywine, MD · Obstetrics & Gynecology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.