Ernesto H Agbayani, M.D.
Individual provider Active NPI Family Medicine Physician · Martinsburg, WV
NPI 1497778427 · NPPES record last updated Mar 25, 2021
Key facts
- NPI
- 1497778427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 19905 (WV)
- Practice address
- 155 Health Care LN
Martinsburg, WV 25401-4008 - Phone
- (304) 596-6911
- Fax
- (304) 596-6913
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- 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 |
|---|---|---|---|---|
| I20060925000392 | WV | Practitioner - Family Practice | 7315942455 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert E. Bowen, MD, LTD | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- ehamd@direct.practicefusion.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19905 | WV | Yes |
Addresses
Primary practice location
155 Health Care LN
Martinsburg, WV 25401-4008
Mailing address
155 Health Care LN
Martinsburg, WV 25401-4008
Phone (304) 596-6911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1807372000 | Medicaid | WV |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ehamd@direct.practicefusion.com |
Other providers in Martinsburg, WV
- Kristy Adkins-Buckley
- Advanced Anesthesia Group, PLLC
- Advanced Pain Relief Centers Inc
- Advanced Pain Relief Centers Inc
- Advocacy Medicine, LLC
- Age in Place West Virginia L.L.C
- Phillip Bernard Aguila
- Jocelyne Aguilar Justiniano
- Cassandra Aguilar
- Thahira Basheer Ahamed
All providers in Martinsburg, WV · Family Medicine Physician in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2021. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.