Individual provider Active NPI

C. Emmanuel Ayers, M.D.

  • Obstetrics & Gynecology Physician
  • Brandywine, MD
National Provider Identifier
1063564458
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0070960 Issued in MD
Practice address
7450 Albert Rd
Brandywine, MD 20613-3035
Phone
(301) 888-2233
NPI assigned
Jan 17, 2007
Last updated
Jan 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036109654 IL
General Practice Physician 208D00000X 036109654 IL
Obstetrics & Gynecology Physician 207V00000X D0070960 MD Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Meharry Medical College School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

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 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue291
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0349049DCMDObstetrics & Gynecology Physician
4301120119MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc CurrentSince Jul 12, 2019 Accepting new patients
Skilled Biologics, Inc. CurrentSince Aug 4, 2024 Accepting new patients
Circle Family Healthcare Network, Inc Past Accepting new patients
Human Enhancement Services NFP Past Accepting new patients
Solid Rock Care Center II General Practice 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

1090 Vermont Ave NW
Ste 910
Washington, DC 20005

4901 Connecticut Ave NW
Washington, DC 20008
Phone (202) 965-6564

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

  • Direct secure messaging: c.emmanuel.ayers.1@22446.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1063564458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 S DAKOTA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183253",
            "telephone_number": "773-383-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 ALBERT RD",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133035",
            "telephone_number": "301-888-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERS",
        "first_name": "C. EMMANUEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036109654",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036109654",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0070960",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DC",
            "license": "MD0349049",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301120119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandywine, MD

Sources for this page

Verify at the official NPI Registry.