Theodore E Igwebe, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

D0052927 Issued in MD

Practice address

6327 Morning Dew CT
Clarksville, MD 21029-1150

Phone

(240) 731-4872

Fax

(301) 972-2057

NPI assigned

Aug 15, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Critical Care, LLCGroup PAC ID 6709037179, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004
• Holy Cross Germantown Hospital Hospital, Germantown, MD, CCN 210065

Merit-based Incentive Payment System (MIPS)

Final score

13.12 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

43.72

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Capital Critical Care, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Rockville, MD
  • NPI 1588910566

  DC

  Medicare reassignment Care Compare group NPD
• Ajit P Kuruvilla MD LLC

  • Pulmonary Disease Physician
  • Rockville, MD
  • NPI 1801131024
  NPD (past)
• Gaithersburg Critical Care Associates LLC

  • Pulmonary Disease Physician
  • Rockville, MD
  • NPI 1144250218
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Cross Health, Inc

  • General Acute Care Hospital
  • Silver Spring, MD
  • NPI 1669417838
  Care Compare affiliation
• Holy Cross Health, Inc.

  • General Acute Care Hospital
  • Germantown, MD
  • NPI 1245655638
  Care Compare affiliation
• Holy Cross Health, Inc.

  • Clinical Medical Laboratory
  • Silver Spring, MD
  • NPI 1831574284

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1760484281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD",
            "address_2": "350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503215",
            "telephone_number": "240-731-4872",
            "fax_number": "301-972-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6327 MORNING DEW CT",
            "city": "CLARKSVILLE",
            "state": "MD",
            "postal_code": "210291150",
            "telephone_number": "240-731-4872",
            "fax_number": "301-972-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGWEBE",
        "first_name": "THEODORE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0052927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSMD",
            "identifier": "0J43",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110178865",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203803000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNCA",
            "identifier": "4483",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khawaja Omair Husain, M.D., M.P.H.
• Mahum Yasin Hussain
• Lily Hwang, D.M.D
• Seungjoon Hwang
• Francine NMN Iamele, L.AC., M.AC.
• Marcel Uche Ilo, RPH
• In Mind Psychiatry, LLC
• Innovative Anesthesia
• Innovative Anesthesia Services LLC
• Mikahla Insalaco, M. AC., L. AC.

• Pulmonary Disease Physician in Clarksville, MD
• Providers in Clarksville, MD by specialty
• Pulmonary Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.

Verify at the official NPI Registry.