Individual provider Active NPI

Eric O Aigbedion, M.D.

  • Internal Medicine Physician
  • Takoma Park, MD
National Provider Identifier
1669472072
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0047891 Issued in MD
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
005848415MedicaidVA
005860733MedicaidVA
005878080MedicaidVA
1669472072MedicaidVA
1802853000MedicaidVA
VAA102802MedicaidVA
010055636MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000439 DC Practitioner - Internal MedicinePractitioner - Emergency Medicine 7214927060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency 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

LicenseStateTypeSpecialty
61511TXMDPharmacist
MD046246DCMDInternal Medicine Physician
D0047891MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

View all 14

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

Verify at the official NPI Registry.