1. Home
  2. Directory
  3. Oregon
  4. Roseburg
  5. Pediatrics
  6. NPI Profile

EBELOSELE EL-HANNAN AIGBIVBALU MD
NPI 1164918108
Pediatrics in Roseburg, OR

Active since July 02, 2018PECOS Enrolled
2700 NW STEWART PARKWAY, ROSEBURG, OR 97471(541) 677-2888 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Jun 14, 2021, Jul 2, 2018 (3 updates tracked since 2018).

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 and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164918108
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameEBELOSELE EL-HANNAN AIGBIVBALUCredential: MD
Location Address2700 NW STEWART PARKWAYRoseburg, OR 97471
Mailing Address301 University BlvdGalveston, TX 77555-0354 · (409) 747-0534 · Fax (409) 747-0721
Phone(541) 677-2888
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 2, 2018
Last NPPES UpdateOctober 6, 20253 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1164918108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · BP10063912
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License V9841 (TX)
2700 NW STEWART PARKWAY, Roseburg, OR 97471
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ebelosele El-hannan Aigbivbalu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193072213
PECOS Enrollment IDI20250903001144
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

COMMONSPIRIT OREGON
Surgery
2700 NW STEWART PARKWAY
ROSEBURG, OR 97471
Douglas County (541) 677-4319
DR. GEORGE W MIDDLEKAUFF MD
Psychiatry & Neurology (Psychiatry)
2700 NW STEWART PARKWAY
ROSEBURG, OR 97471
Douglas County (541) 677-2452

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.

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 9 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.