Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebelosele El-Hannan Aigbivbalu, MD

Individual provider Pediatrics Physician · NPI 1164918108

Ebelosele El-Hannan Aigbivbalu, MD is a Pediatric Medicine in Roseburg, Oregon. Qualified in 2013, 13 years ago. Licensed in Texas.

Years since qualifying
13
Licensed in
TX
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone: (541) 677-2888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence BP10063912 (TX)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence V9841 (TX)

Record details

NPI number1164918108
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2018
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated

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