Active NPI
Abra Aziagbe-Zilevu, MD
- Adult Medicine Physician
- Bridgeport, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 71922
- 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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Shelton, CT
- NPI 1114184157
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Fairfield, CT
- NPI 1659347300
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 IncRehabilitation Associates Inc
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
- Yale-New Haven Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 71922 | CT | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current | 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
- aaziagbezilevu582989@direct.ynhh.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 71922 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.