Etsubdenk Ajebo, MD
NPI 1134788532 · Dermatology Physician · Fairfax, VA
Enrolled with Medicare as Practitioner - Dermatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Etsubdenk Ajebo, MD is a Dermatology Physician provider in Fairfax, VA (NPI 1134788532).
Provider details
- NPI number
- 1134788532
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 0101283681 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
840 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 148 | $8 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 148 | $99 |
| Therapy Procedure Using Ultraviolet Radiation With Tar Or Petroleum Jelly Application96910 | 114 | $128 |
| Destruction of Skin Growth, 1-14 Growths17110 | 76 | $129 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 73 | $51 |
| Biopsy of Related Skin Growth, First Growth11102 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$47 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-06-10
- Last updated
- 2026-02-10
- Certified
- 2026-02-10
Frequently asked questions
- What is Etsubdenk Ajebo's NPI number?
- Etsubdenk Ajebo's National Provider Identifier (NPI) is 1134788532, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Etsubdenk Ajebo's specialty?
- Etsubdenk Ajebo is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Etsubdenk Ajebo located?
- Etsubdenk Ajebo's practice location on file with NPPES is 4211 Fairfax Corner Ave E Ste 225, Fairfax, VA 22030-8623.
- What is Etsubdenk Ajebo's phone number?
- The practice phone number listed in the NPPES registry for Etsubdenk Ajebo is (703) 278-2473.
- Does Etsubdenk Ajebo accept Medicare?
- Etsubdenk Ajebo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Etsubdenk Ajebo's NPI active?
- Yes — Etsubdenk Ajebo's NPI (1134788532) is active in the NPPES registry as of the last update on 2026-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.