EBELOSELE EL-HANNAN AIGBIVBALU MD
NPI 1164918108
Pediatrics in Roseburg, OR
About Ebelosele El-hannan Aigbivbalu Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBELOSELE EL-HANNAN AIGBIVBALU MD (NPI 1164918108) is an individual pediatrics provider in Roseburg, Oregon, licensed in Texas (BP10063912) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ebelosele El-hannan Aigbivbalu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Ebelosele Aigbivbalu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roseburg, OR 97471
- Reassigned Medicare billing, Oregon enrollment
- 90 clinicians in this Medicare group
Galveston, TX 77555
- Reassigned Medicare billing, Texas enrollment
- 2,222 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97471 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEBURG, OR 97471
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ebelosele Aigbivbalu's NPI number?
The NPI number for Ebelosele Aigbivbalu is 1164918108. It was assigned to this individual provider in the NPPES registry on July 2, 2018.
Where is Ebelosele Aigbivbalu located?
Ebelosele Aigbivbalu practices at 2700 NW Stewart Parkway, Roseburg, OR 97471. The listed phone number is (541) 677-2888.
What is Ebelosele Aigbivbalu's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Ebelosele Aigbivbalu enrolled in Medicare?
Yes. Ebelosele Aigbivbalu is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Ebelosele Aigbivbalu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ebelosele Aigbivbalu reassigns Medicare benefits to 2 organizations: Centennial Medical Group Inc. (Roseburg, OR) and Utmb Faculty Group Practice (Galveston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ebelosele Aigbivbalu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ebelosele Aigbivbalu accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Providence Health Plan list Ebelosele Aigbivbalu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ebelosele Aigbivbalu was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ebelosele El-Hannan Aigbivbalu, MD · NPI 1164918108
Pediatrics physician in Roseburg, Oregon. Individual provider, active in the CMS NPPES registry since July 2, 2018.
## Identity
- **NPI:** 1164918108 (Entity type: Individual)
- **Enumerated:** July 2, 2018
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** BP10063912 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2700 NW STEWART PARKWAY, Roseburg, OR 97471
- **Phone:** (541) 677-2888
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Centennial Medical Group Inc. (NPI 1518103274, Roseburg, OR); Utmb Faculty Group Practice (NPI 1942241146, Galveston, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164918108) · Data from the CMS NPPES public registry.