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DR. ANGELICA EHIOBA MD
NPI 1356920300
Family Medicine in Mitchellville, MD

Active since April 06, 2021PECOS EnrolledAccepts Medicare Assignment
12158 CENTRAL AVE, MITCHELLVILLE, MD 20721(301) 430-2700(301) 779-9001 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2024, Apr 6, 2021 (2 updates tracked since 2021).

About Dr. Angelica Ehioba Md NPPES

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

DR. ANGELICA EHIOBA MD (NPI 1356920300) is an individual family medicine provider in Mitchellville, Maryland, licensed in Maryland (D0101160) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356920300
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANGELICA EHIOBACredential: MD
Location Address12158 CENTRAL AVEMitchellville, MD 20721-1932
Mailing Address12158 Central AveMitchellville, MD 20721-1932 · (301) 430-2700
Phone(301) 430-2700
Fax(301) 779-9001
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 6, 2021
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1356920300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MD · D0101160
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12158 CENTRAL AVE, Mitchellville, MD 20721
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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 and accepts Medicare assignment

Dr. Angelica Ehioba Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991245391
PECOS Enrollment IDI20241220003881
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 Angelica Ehioba reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Medstar Medical Group II LLC
12 mi
Anesthesiology
110 IRVING ST NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1376887844 (Maryland)
  • 3,530 clinicians in this Medicare group
NPI 1023836137 (703) 558-1403

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
71 services63 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
15 services15 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
14 services14 patients
Administration of vaccine 90471
Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20721 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIDIYANA PLES JONES PTA
Physical Therapy Assistant
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Prince George's County (301) 390-3076
ERIN MICHELLE WEEKS-BUMBRAY
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Prince George's County (301) 540-5246
ERIN YVETTE CLARK OTR/L
Occupational Therapist
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Prince George's County (301) 430-2706
EMILY JEAN CRONAN
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Prince George's County (301) 889-8914
JASMIN ESTEFANI CASCO NATAREN
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Prince George's County (301) 390-3076
MR. RODNEY MACKEY JR.
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Prince George's County (301) 430-2700
KENNY GASTON
Student in an Organized Health Care Education/Training Program
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Prince George's County (301) 430-2750
DR. KAREN HILLSLEY PT
Physical Therapist
12158 CENTRAL AVE
MITCHELLVILLE, MD 20721
Prince George's County (855) 546-0971

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 Angelica Ehioba's NPI number?

The NPI number for Angelica Ehioba is 1356920300. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Angelica Ehioba located?

Angelica Ehioba practices at 12158 Central Ave, Mitchellville, MD 20721. The listed phone number is (301) 430-2700.

What is Angelica Ehioba's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Angelica Ehioba enrolled in Medicare?

Yes. Angelica Ehioba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Angelica Ehioba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Angelica Ehioba reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). 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 Angelica Ehioba'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 Angelica Ehioba was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.