Individual provider Active NPI

Abra Aziagbe-Zilevu, MD

  • Adult Medicine Physician
  • Bridgeport, CT
National Provider Identifier
1689237703
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
71922 Issued in CT
Practice address
3180 Main St Ste 301
Bridgeport, CT 06606-4237
Phone
(203) 373-9100
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Medical Group Inc 1,357 clinicians
Rehabilitation Associates Inc 525 clinicians

Practice addresses (Care Compare)

3180 Main St
Suite 301
Bridgeport, CT 06606-4237
Phone (203) 373-9100

555 Bridgeport Ave
Shelton, CT 06484-4749
Phone (203) 922-1773

Hospital & facility affiliations

  • Bridgeport Hospital Hospital, Bridgeport, CT, CCN 070010
  • Yale-New Haven Hospital Hospital, New Haven, CT, CCN 070022

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20220909000503 CT Practitioner - Family Practice 7719361807 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71922CTMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Sep 1, 2022 Accepting new patients

Locations

3180 Main St
Ste 303
Bridgeport, CT 06606
Phone (203) 373-1593

3180 Main St
Ste 301
Bridgeport, CT 06606
Phone (203) 373-9100

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

Interoperability endpoints

  • Direct secure messaging: aaziagbezilevu582989@direct.ynhh.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 71922 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

3180 Main St Ste 301
Bridgeport, CT 06606-4237

Mailing address

3180 Main St Ste 301
Bridgeport, CT 06606-4237
Phone (203) 373-9100

Electronic endpoints 2

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL Yale
Direct Messaging Address abra.aziagbe-zilevu@ynhh.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2023.

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1689237703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 MAIN ST STE 301",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064237",
            "telephone_number": "203-373-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 MAIN ST STE 301",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064237",
            "telephone_number": "203-373-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIAGBE-ZILEVU",
        "first_name": "ABRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CT",
            "license": "71922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Yale",
            "affiliation": "N",
            "address_1": "3180 Main St Ste 301",
            "city": "Bridgeport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066064237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "abra.aziagbe-zilevu@ynhh.org",
            "affiliation": "N",
            "address_1": "3180 Main St Ste 301",
            "city": "Bridgeport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066064237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

Verify at the official NPI Registry.