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NPI · 1134788532 · NPPES-sourced

Etsubdenk Ajebo MD

ActiveDermatology
NPI Number
1134788532
Type 1 · Individual
Taxonomy Code
207N00000X
Contact
(703) 278-2473
License VA · 0101283681
Last Updated
Enumerated
Primary practice addressVA · 22030-8623
4211 Fairfax Corner Ave E Ste 225Fairfax, VA 22030-8623
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About this NPIWhat this record shows.

NPI 1134788532 is registered to Etsubdenk Ajebo MD, a Dermatology practising at 4211 Fairfax Corner Ave E Ste 225 in Fairfax, Virginia. Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures. Etsubdenk Ajebo MD has been enumerated in the National Provider Identifier (NPI) registry since 2019.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Etsubdenk Ajebo MD accepts. To confirm in-network status with your specific health plan, contact Etsubdenk Ajebo MD directly at (703) 278-2473.

Frequently asked

Yes. NPI 1134788532 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dermatology is a medical specialty focused on conditions affecting the skin, hair, and nails, including acne, eczema, psoriasis, skin cancer screenings, and cosmetic procedures.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (703) 278-2473.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Etsubdenk Ajebo MD is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy207N00000X
Last updated
Enumerated
StatusActive
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