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JEFFERSON EBUBE MD
NPI 1871235986
Family Medicine in Wethersfield, CT

Active since April 09, 2022PECOS EnrolledAccepts Medicare Assignment
1025 SILAS DEANE HWY, WETHERSFIELD, CT 06109(860) 696-2400(860) 696-2415 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2022, Apr 9, 2022 (2 updates tracked since 2022).

About Jefferson Ebube Md NPPES

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

JEFFERSON EBUBE MD (NPI 1871235986) is an individual family medicine provider in Wethersfield, Connecticut, licensed in Connecticut (83768) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Rutgers, Robert Woood Johnson Medical School (2022).

NPPES Registry Identity

NPI1871235986
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFERSON EBUBECredential: MD
Location Address1025 SILAS DEANE HWYWethersfield, CT 06109-4223
Mailing Address1025 Silas Deane HwyWethersfield, CT 06109-4223 · (860) 696-2400 · Fax (860) 696-2415
Phone(860) 696-2400
Fax(860) 696-2415
Sole ProprietorNo
Medical School CMSRutgers, Robert Woood Johnson Medical SchoolGraduated 2022
Enumeration DateApril 9, 2022
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1871235986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 83768
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.
1025 SILAS DEANE HWY, Wethersfield, CT 06109
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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

Jefferson Ebube 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 ID6406236884
PECOS Enrollment IDI20251103000557
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 06109 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

NICOLE L HETTRICH PA
Physician Assistant (Medical)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 696-2400
ASHLEY LYNN PORTAL
Nurse Practitioner (Family)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 696-2400
MS. LINDSAY B KNAPP LICSW
Social Worker (Clinical)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 696-2400
REBECCA TEICH-MCGOLDRICK DO
Internal Medicine
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 696-2400
KRISTINE FAULKNHAM BIRDSALL M.D.
Family Medicine
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 696-2400
ALI SALEH RPA-C
Physician Assistant (Medical)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (877) 707-4442
LAUREN MARIE SANCHEZ
Nurse Practitioner (Family)
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 787-5775
JANE BUSS M.D.
Internal Medicine
1025 SILAS DEANE HWY
WETHERSFIELD, CT 06109
Capitol Planning Region (860) 696-2400

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 Jefferson Ebube's NPI number?

The NPI number for Jefferson Ebube is 1871235986. It was assigned to this individual provider in the NPPES registry on April 9, 2022.

Where is Jefferson Ebube located?

Jefferson Ebube practices at 1025 Silas Deane Hwy, Wethersfield, CT 06109. The listed phone number is (860) 696-2400.

What is Jefferson Ebube's specialty?

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

Is Jefferson Ebube enrolled in Medicare?

Yes. Jefferson Ebube 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 Jefferson Ebube was last updated on June 10, 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.