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FORTUNE EGBULEFU MD
NPI 1497002471
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Jb Andrews, MD

Active since August 09, 2012PECOS Enrolled
1060 W PERIMETER RD, JB ANDREWS, MD 20762(888) 999-1212 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 26, 2026, Aug 18, 2026, Jul 21, 2026 and 7 more (10 updates tracked since 2017).

About Fortune Egbulefu Md NPPES

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

FORTUNE EGBULEFU MD (NPI 1497002471) is an individual adult reconstructive orthopaedic surgery provider in Jb Andrews, Maryland, licensed in Nevada (20444) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1497002471
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameFORTUNE EGBULEFUCredential: MD
Location Address1060 W PERIMETER RDJb Andrews, MD 20762-6602
Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-3040
Phone(888) 999-1212
Sole ProprietorNo
Enumeration DateAugust 9, 2012
Last NPPES UpdateAugust 26, 202610 updates tracked since enumeration
NPPES CertifiedAugust 26, 2026
✔ NPI 1497002471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in NV · 20444
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 36953 (WV)
1060 W PERIMETER RD, Jb Andrews, MD 20762
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Secondary Practice Locations 7

Location 14700 Las Vegas Blvd NNellis AFB, NV 89191-6600 · Phone (702) 653-3040
Location 2812 Gorman AveElkins, WV 26241-3181 · Phone (304) 636-3300
Location 3230 Hospital PlzWeston, WV 26452-8558 · Phone (304) 269-8000
Location 4330 S Lola Ln Ste 200Pahrump, NV 89048-0879 · Phone (775) 751-7100 · Fax (775) 751-7824
Location 529 Hospital Plz Ste CWeston, WV 26452-8471 · Phone (304) 269-4431
Location 6801 Gorman AveElkins, WV 26241-3147 · Phone (304) 637-4509
Location 79300 DeWitt LoopFort Belvoir, VA 22060-5285 · Phone (571) 231-2191

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fortune Egbulefu 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 Reassignments

3

Medicare enrollment records show Fortune Egbulefu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Davis Memorial Hospital
160 mi
General Acute Care Hospital
812 GORMAN AVE
Elkins, WV 26241
  • Reassigned Medicare billing, West Virginia enrollment
  • 246 clinicians in this Medicare group
NPI 1619964806 (304) 636-3300
Stonewall Jackson Memorial Hospital Company
194 mi
Rural
230 HOSPITAL PLZ
Weston, WV 26452
  • Reassigned Medicare billing, West Virginia enrollment
  • 134 clinicians in this Medicare group
NPI 1477559433 (304) 269-8000
Las Vegas Medical Group LLC
2,100 mi
Internal Medicine
6850 N DURANGO DR STE 208
Las Vegas, NV 89149
  • Reassigned Medicare billing, Nevada enrollment
  • 92 clinicians in this Medicare group
NPI 1447656988 (702) 835-9870

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

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.

CHELSEA BIANCA PAYNE M.D.
Family Medicine
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (907) 377-6722
MS. PATRICIA BANASZEK HAZARD CRNP
Nurse Practitioner (Obstetrics & Gynecology)
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1400
MR. KOMI VENUNYE GAYAKPA IDC
Military Health Care Provider (Independent Duty Corpsman)
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (651) 354-8825
AMANDA MARIE HAWKINS MD
Obstetrics & Gynecology
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1400
DR. JULIE ANN BANTA PT, DPT, FAAOMPT
Physical Therapist
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-2464
DR. SUBODH ARORA MD
Pediatrics
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (301) 404-9046
GWENYTH FIFIELD DMD
Dentist
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (603) 707-7502
MR. JEREMY TROY POWELL PA-C
Physician Assistant
1060 W PERIMETER RD
JB ANDREWS, MD 20762
Prince George's County (240) 612-1143

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 Fortune Egbulefu's NPI number?

The NPI number for Fortune Egbulefu is 1497002471. It was assigned to this individual provider in the NPPES registry on August 9, 2012.

Where is Fortune Egbulefu located?

Fortune Egbulefu practices at 1060 W Perimeter Rd, Jb Andrews, MD 20762. The listed phone number is (888) 999-1212.

What is Fortune Egbulefu's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Fortune Egbulefu enrolled in Medicare?

Yes. Fortune Egbulefu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Fortune Egbulefu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fortune Egbulefu reassigns Medicare benefits to 3 organizations: Davis Memorial Hospital (Elkins, WV), Stonewall Jackson Memorial Hospital Company (Weston, WV) and Las Vegas Medical Group LLC (Las Vegas, NV). 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 Fortune Egbulefu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fortune Egbulefu accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Fortune Egbulefu 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 Fortune Egbulefu was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.