Individual provider Active NPI

Ebunoluwa Esther Taylor, M.D.

  • Internal Medicine Physician
  • Greenville, NC
National Provider Identifier
1649626292
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101267235 Issued in VA
Practice address
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone
(252) 744-3229
Fax
(252) 744-3924
NPI assigned
May 12, 2016
Last updated
Aug 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 0101267235 VA Primary

Addresses

Primary practice location

2100 Stantonsburg Rd
Greenville, NC 27834-2818

Mailing address

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 744-3229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191029002611 VA Practitioner - Internal MedicinePractitioner - Hospitalist 5294028155 Reassigns benefits to 3 organizations
I20200130002312 DC Practitioner - Internal Medicine 5294028155 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Healthcare PCGroup PAC ID 3779723309, 102 clinicians
Comprehensive Primary Care and Associates LLCGroup PAC ID 5092991984, 167 clinicians

Practice addresses (Care Compare)

1499 Cornerside Blvd
Suite a
Vienna, VA 22182-2398
Phone (703) 878-8800

15245 Shady Grove Rd
Suite 150
Rockville, MD 20850-7210
Phone (301) 869-9776

1980 Gallows Rd
Suite 100
Vienna, VA 22182-3913
Phone (703) 942-5331

6020 Richmond Hwy
Suite 102
Alexandria, VA 22303-2157
Phone (571) 308-6776

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Medical Management Corporation Current Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince May 1, 2021 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 20, 2019 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Nov 30, 2019 Accepting new patients
Capital Healthcare PC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Comprehensive Primary Care and Associates LLC Internal Medicine CurrentSince Nov 1, 2025 Accepting new patients
Inova Health Care Services Internal Medicine Current Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Aug 20, 2019 Accepting new patients

Locations

15245 Shady Grove Rd
Ste 150
Rockville, MD 20850
Phone (667) 303-1042

15245 Shady Grove Rd
Ste 340
Rockville, MD 20850

15825 Shady Grove Rd
Ste 140
Rockville, MD 20850
Phone (301) 519-2118

323 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-2612

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

6020 Richmond Hwy
Ste 102
Alexandria, VA 22303
Phone (267) 978-1993

43810 Central Station Dr
Ste 160
Ashburn, VA 20147
Phone (301) 426-6500

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

1499 Cornerside Blvd
#A
Vienna, VA 22182
Phone (703) 659-0101

Interoperability endpoints

  • Direct secure messaging: ebunoluwa.taylor.1@15482.direct.athenahealth.com

Organizations & group practices 11

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1649626292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342818",
            "telephone_number": "252-744-3229",
            "fax_number": "252-744-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 STANTONSBURG RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342818",
            "telephone_number": "252-744-3229",
            "fax_number": "252-744-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "EBUNOLUWA",
        "middle_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101267235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.