Individual provider Active NPI

Steven Jebum Ma, MD

  • Family Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1609864669
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01012333607 Issued in VA
Practice address
605 Emancipation Hwy Ste 201
Fredericksburg, VA 22401-8403
Phone
(540) 368-2011
Fax
(540) 368-0326
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01012333607 VA Primary

Addresses

Primary practice location

605 Emancipation Hwy Ste 201
Fredericksburg, VA 22401-8403

Mailing address

PO Box 845
Fredericksburg, VA 22404-0845
Phone (540) 377-4488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20040903000890 VA Practitioner - Family Practice 1153397815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Hahnemann University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

605 Emancipation Hwy
Suite 201
Fredericksburg, VA 22401-8403
Phone (540) 368-2011

Hospital & facility affiliations

  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01012333607VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Personalized Family Medicine, P.C. Family Medicine CurrentSince Jun 1, 2004 Accepting new patients
Lee'S Hill Family Physicians, P.C. Family Medicine Past Accepting new patients

Locations

605 Emancipation Hwy
Fredericksburg, VA 22401
Phone (540) 310-0117

605 Emancipation Hwy
Ste 201
Fredericksburg, VA 22401
Phone (540) 368-2011

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1609864669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224040845",
            "telephone_number": "540-377-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 EMANCIPATION HWY STE 201",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018403",
            "telephone_number": "540-368-2011",
            "fax_number": "540-368-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "STEVEN",
        "middle_name": "JEBUM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "01012333607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.