Active NPI
Ivara Alistair Esege, M.B.B.S.
- Specialist
- Baltimore, MD
National Provider Identifier
1306885280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D46071
- Practice address
- 4538 Edmondson Ave
Baltimore, MD 21229-1506 - Phone
- (410) 328-2273
- Fax
- (410) 328-1748
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D46071 | MD | Primary |
Addresses
Primary practice location
4538 Edmondson Ave
Baltimore, MD 21229-1506
Mailing address
4538 Edmondson Ave
Baltimore, MD 21229-1506
Phone (410) 328-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Family Medicine Associates, P.a. | Specialist | Current | Accepting new patients |
| University of Maryland Faculty Physicians Immediate Care, LLC | Current | Accepting new patients | |
| University of Maryland Family Medicine Associates, P.a. | Specialist | Current | Accepting new patients |
| University Care | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4538 Edmondson Ave
Baltimore, MD 21229
Phone (410) 328-2273
419 W Redwood St
Ste 220
Baltimore, MD 21201
Phone (410) 328-3306
5890 Waterloo Rd
Columbia, MD 21045
Phone (410) 328-2603
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Columbia, MD
- NPI 1972986271
-
- Specialist
- Baltimore, MD
- NPI 1053424994
-
- Specialist
- Baltimore, MD
- NPI 1417764010
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Health Service Psychologist
- Baltimore, MD
- NPI 1629210166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243900800000",
"number": "1306885280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4538 EDMONDSON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212291506",
"telephone_number": "410-328-2273",
"fax_number": "410-328-1748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4538 EDMONDSON AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212291506",
"telephone_number": "410-328-2273",
"fax_number": "410-328-1748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESEGE",
"first_name": "IVARA",
"middle_name": "ALISTAIR",
"name_prefix": "Dr.",
"credential": "M.B.B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2009-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D46071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; 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.