Celsus Iegbeojai Ebba, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD-047028-L Issued in PA

Practice address

869 Main St
Darby, PA 19023-2105

Phone

(610) 461-2440

Fax

(610) 461-2475

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Prospect Health Access Network, Inc.

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1568819084
  Medicare reassignment NPD
• Wissinoming Medical Associates PC

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1487609210
  Medicare reassignment NPD
• Prospect Health Access Network, Inc.

  • Diagnostic Radiology Physician
  • Chester, PA
  • NPI 1154776797
  NPD
• Prospect Health Access Network, Inc.

  • Obstetrics & Gynecology Physician
  • Drexel Hill, PA
  • NPI 1255786729
  NPD
• Prospect Health Access Network, Inc.

  • Gynecologic Oncology Physician
  • Chester, PA
  • NPI 1134574775
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114055027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 MAIN ST",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190232105",
            "telephone_number": "610-461-2440",
            "fax_number": "610-461-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 MAIN ST",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190232105",
            "telephone_number": "610-461-2440",
            "fax_number": "610-461-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBA",
        "first_name": "CELSUS",
        "middle_name": "IEGBEOJAI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-047028-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE EAST",
            "identifier": "0124246000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "737499",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUC CROSS BLUE SHIELD",
            "identifier": "93191",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Duffy, D.O.
• Shreya Dunddumalla
• Mary Duppert
• Satya Rashmit Durugu, MD
• Eastwick Radiology Assocs.
• Edmacy Community Transportation LLC
• Edmacy Home Care Inc
• Timika Sharee Edney, ARRT R
• Edward B Ruby MD
• Sandra Eglick Harkavy, MD

• Internal Medicine Physician in Darby, PA
• Providers in Darby, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.