MOSES AGBONAVBARE PA-C
NPI 1578225439
Physician Assistant - Surgical in Baltimore, MD

Active since October 08, 2021PECOS EnrolledAccepts Medicare Assignment
201 E UNIVERSITY PKWY, BALTIMORE, MD 21218(410) 554-2002 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 29, 2021, Oct 8, 2021 (2 updates tracked since 2021).

About Moses Agbonavbare Pa-c NPPES

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

MOSES AGBONAVBARE PA-C (NPI 1578225439) is an individual surgical provider in Baltimore, Maryland and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1578225439
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMOSES AGBONAVBARECredential: PA-C
Location Address201 E UNIVERSITY PKWYBaltimore, MD 21218-2829
Mailing Address9072 Meadow Heights RdRandallstown, MD 21133-3646 · (410) 413-0342
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 8, 2021
Last NPPES UpdateNovember 29, 20212 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1578225439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
201 E UNIVERSITY PKWY, Baltimore, MD 21218

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Moses Agbonavbare Pa-c 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 ID4789074741
PECOS Enrollment IDI20211206001748, I20230906001378
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.

Areas of Expertise CMS Part B claims 15

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.
213 services209 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
83 services83 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
83 services82 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637
This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.
62 services62 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
48 services48 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
41 services41 patients

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.

Internal Medicine
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Nurse Practitioner (Family)
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Student in an Organized Health Care Education/Training Program
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Internal Medicine (Cardiovascular Disease)
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Student in an Organized Health Care Education/Training Program
201 E UNIVERSITY PKWY
BALTIMORE, MD 21218
Internal Medicine (Infectious Disease)
201 E UNIVERSITY PKWY, DEPT OF MEDICINE MEDSTAR UNION MEMORIAL HOSPITAL
BALTIMORE, MD 21218
Student in an Organized Health Care Education/Training Program
201 E UNIVERSITY PKWY, DEPT. OF SURGERY
BALTIMORE, MD 21218
Orthopaedic Surgery
201 E UNIVERSITY PKWY, DEPARTMENT OF ORTHOPAEDIC SURGERY
BALTIMORE, MD 21218

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 Moses Agbonavbare's NPI number?

The NPI number for Moses Agbonavbare is 1578225439. It was assigned to this individual provider in the NPPES registry on October 8, 2021.

Where is Moses Agbonavbare located?

Moses Agbonavbare practices at 201 E University Pkwy, Baltimore, MD 21218. The listed phone number is (410) 554-2002.

What is Moses Agbonavbare's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Moses Agbonavbare enrolled in Medicare?

Yes. Moses Agbonavbare 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.

When was this NPI record last updated?

The NPPES record for Moses Agbonavbare was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.