DR. THELMA AYENSU MD
NPI 1881883882
Internal Medicine in Washington, DC

Active since October 16, 2007PECOS EnrolledAccepts Medicare Assignment
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016(202) 660-5182 Get Directions Write a Review

NPPES record last updated: August 30, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Thelma Ayensu Md NPPES

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

DR. THELMA AYENSU MD (NPI 1881883882) is an individual internal medicine provider in Washington, District Of Columbia, licensed in District Of Columbia (MD042368) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains a secondary practice location in Bethesda.

NPPES Registry Identity

NPI1881883882
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. THELMA AYENSUCredential: MD
Location Address5255 LOUGHBORO RD NWWashington, DC 20016-2633
Mailing Address6400 Goldsboro RdBethesda, MD 20817-5826 · (205) 934-5191
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2007
Enumeration DateOctober 16, 2007
Last NPPES UpdateAugust 30, 2019
✔ NPI 1881883882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in DC · MD042368✔ Licensed in MD · D0070295✔ Licensed in VA · 0101248413
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5255 LOUGHBORO RD NW, Washington, DC 20016

Secondary Practice Location 1

Location 16400 Goldsboro RdBethesda, MD 20817-5826 · Phone (205) 934-5191

Accepted Insurance

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. Thelma Ayensu 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 ID7012102098
PECOS Enrollment IDI20110216000561, I20150513000357
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

8

Medicare enrollment records show Thelma Ayensu reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
4102 WILSON BLVD
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • Also billed through NPI 1689485963 (Maryland)
  • 691 clinicians in this Medicare group
Emergency Medical Services
110 IRVING ST NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Whc Physician Group LLC
  • 613 clinicians in this Medicare group
Hospitalist
901 HARRY S. TRUMAN DRIVE
Largo, MD 20774
  • Reassigned Medicare billing, District of Columbia enrollment
  • 81 clinicians in this Medicare group
Emergency Medicine
6208 MULTIPLEX DR, SUITE 150
Centreville, VA 20121
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Uva Community Health Medical Group LLC
  • 584 clinicians in this Medicare group
Hospitalist
400 W SEVENTH ST
Frederick, MD 21701
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 204 clinicians in this Medicare group
Hospitalist
11116 MEDICAL CAMPUS RD
Hagerstown, MD 21742
  • Reassigned Medicare billing, Maryland enrollment
  • 91 clinicians in this Medicare group
Urology
7021 WEST LEE HIGHWAY, SUITE B
Rural Retreat, VA 24368
  • Reassigned Medicare billing, Virginia enrollment
  • 337 clinicians in this Medicare group
Hospitalist
2100 N 7TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Virginia enrollment
  • 528 clinicians in this Medicare group

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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
69 services69 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
32 services32 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Henrico Doctors' Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490118
Location1602 Skipwith RoadRichmond, VA 23229 · Henrico County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20016 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
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.

Nurse Practitioner
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Obstetrics & Gynecology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Physician Assistant (Surgical)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pharmacist
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Radiological Physics)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Anesthesiology
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Pathology (Cytopathology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016
Radiology (Diagnostic Radiology)
5255 LOUGHBORO RD NW
WASHINGTON, DC 20016

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 Thelma Ayensu's NPI number?

The NPI number for Thelma Ayensu is 1881883882. It was assigned to this individual provider in the NPPES registry on October 16, 2007.

Where is Thelma Ayensu located?

Thelma Ayensu practices at 5255 Loughboro Rd NW, Washington, DC 20016. The listed phone number is (202) 660-5182.

What is Thelma Ayensu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Thelma Ayensu enrolled in Medicare?

Yes. Thelma Ayensu 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 organizations bill Medicare for Thelma Ayensu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thelma Ayensu reassigns Medicare benefits to 8 organizations: Johns Hopkins Community Physicians (Arlington, VA), Whc Emerg Phys (Washington, DC), Adfinitas Health At Umcap, LLC (Largo, MD), Nmg Affiliate Practice I, LLC (Centreville, VA), Hospitalist Medicine Physicians Of Maryland PC (Frederick, MD) and 3 more organizations, listed in the Medicare section above. 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 Thelma Ayensu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thelma Ayensu accept?

Health plans from Oscar Health list Thelma Ayensu 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.

Is Thelma Ayensu affiliated with any hospitals?

According to CMS data, Thelma Ayensu is affiliated with Frederick Health Hospital and Henrico Doctors' Hospital.

When was this NPI record last updated?

The NPPES record for Thelma Ayensu was last updated on August 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.