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DR. EDGARD A SEGURA MD
NPI 1326109778
Pediatrics in Ashburn, VA

Active since December 12, 2006PECOS Enrolled
43480 YUKON DR # 2200, ASHBURN, VA 20147(571) 252-6000 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Edgard A Segura Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDGARD A SEGURA MD (NPI 1326109778) is an individual pediatrics provider in Ashburn, Virginia, licensed in Virginia (0101230526) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326109778
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. EDGARD A SEGURACredential: MD
Location Address43480 YUKON DR # 2200Ashburn, VA 20147-6988
Mailing Address2101 E Jefferson St, Kaiser Permanente Medicare EnrollmentRockville, MD 20852-4908 · (301) 816-2424
Phone(571) 252-6000
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateMay 27, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1326109778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in VA · 0101230526
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 ListedInternal MedicineTaxonomy 207R00000X · License 0101230526 (VA)
43480 YUKON DR # 2200, Ashburn, VA 20147
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edgard A Segura Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Edgard Segura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc
Same address
Health Maintenance Organization
43480 YUKON DR, SUITE 100
Ashburn, VA 20147
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1215058326 (District of Columbia)
  • 995 clinicians in this Medicare group
NPI 1699893537 (571) 252-6000

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 20147 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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 Edgard Segura's NPI number?

The NPI number for Edgard Segura is 1326109778. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Edgard Segura located?

Edgard Segura practices at 43480 Yukon Dr # 2200, Ashburn, VA 20147. The listed phone number is (571) 252-6000.

What is Edgard Segura's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Edgard Segura enrolled in Medicare?

Yes. Edgard Segura is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edgard Segura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgard Segura reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Ashburn, VA). The 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 Edgard Segura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edgard Segura was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.