Active NPI
Eric O Aigbedion, M.D.
- Internal Medicine Physician
- Takoma Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0047891
- Practice address
- 7505 New Hampshire Ave Ste 314
Takoma Park, MD 20912-6972 - Phone
- (301) 326-2997
- Fax
- (301) 326-2999
- NPI assigned
- Jul 28, 2005
- Last updated
- Jan 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | D0047891 | MD | |
| Emergency Medicine Physician | 207P00000X | 0101058203 | VA | |
| Internal Medicine Physician | 207R00000X | MD046246 | DC | |
| Internal Medicine Physician | 207R00000X | D0047891 | MD | Primary |
Addresses
Primary practice location
7505 New Hampshire Ave Ste 314
Takoma Park, MD 20912-6972
Mailing address
5200 Ashleigh Glen CT
Glenn Dale, MD 20769-9148
Phone (301) 356-6891
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005848415 | Medicaid | VA | |
| 005860733 | Medicaid | VA | |
| 005878080 | Medicaid | VA | |
| 1669472072 | Medicaid | VA | |
| 1802853000 | Medicaid | VA | |
| VAA102802 | Medicaid | VA | |
| 010055636 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
7505 New Hampshire Ave
Suite 314
Takoma Park, MD 20912-6972
Phone (301) 326-2997
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61511 | TX | MD | Pharmacist |
| MD046246 | DC | MD | Internal Medicine Physician |
| D0047891 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus Medical PC | Current | Accepting new patients | |
| Emergency Professionals of Indiana, P.C. | Emergency Medicine | Past | Accepting new patients |
| Freestone Emergency Medicine Associates PA | Emergency Medicine | Past | Accepting new patients |
| River Crossing Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Northern Virginia Emergency Physicians, LLP | Emergency Medicine | Past | Accepting new patients |
| Houston Emergency Medicine Associates PA | Emergency Medicine | Past | Accepting new patients |
| Panola Emergency Medicine Associates PA | Emergency Medicine | Past | Accepting new patients |
| Lexington Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Indiana Emergency Professionals PC | Emergency Medicine | Past | Accepting new patients |
| Riverside Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Virginia Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
| Delphi Healthcare Partners of Maryland LLC | Past | Accepting new patients |
Locations
7505 New Hampshire Ave
Ste 314
Takoma Park, MD 20912
Phone (301) 326-2997
Interoperability endpoints
- eric.aigbedion@glacecentral.com
Organizations & group practices 14
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1669472072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 ASHLEIGH GLEN CT",
"city": "GLENN DALE",
"state": "MD",
"postal_code": "207699148",
"telephone_number": "301-356-6891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 NEW HAMPSHIRE AVE STE 314",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126972",
"telephone_number": "301-326-2997",
"fax_number": "301-326-2999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AIGBEDION",
"first_name": "ERIC",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0047891",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101058203",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "MD046246",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0047891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005848415",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005860733",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005878080",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669472072",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1802853000",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VAA102802",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010055636",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.