WILLIBRORD BAGIRANEZA — NPI 1306614136 (Licensed & Credentialed Technician/Technologist in TIMONIUM, MD)

CMS-1500 Box 24J / 33a • NPI

1306614136

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

156F00000X

Licensed & Credentialed Technician/Technologist

Box 32 Service Location & ZIP+4

2118 GREENSPRING DR, TIMONIUM, MD, 21093-3112

✓ 9-Digit EDI 837 ZIP+4 (21093-3112)

Practice Phone & Referral Fax

(410) 560-7514

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1306614136 (WILLIBRORD BAGIRANEZA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1306614136` (NPI-1 Individual Practitioner)
Provider / Legal Name	WILLIBRORD BAGIRANEZA
Plain-English Specialty	Licensed & Credentialed Technician/Technologist NUCC Code: `156F00000X` (Technician/Technologist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2118 GREENSPRING DR, TIMONIUM, MD, 21093-3112
Practice Telephone / Fax	Tel: (410) 560-7514
Administrative Mailing Address	4309 MARIGOLD LN, BELCAMP, MD, 21017-1668
Enumeration & Last Sync	Enumerated: 2023-12-12 \| CMS Record Updated: 2023-12-12

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2118 GREENSPRING DR, TIMONIUM, MD, 21093-3112

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Plain-English Taxonomy & CMS Crosswalk (156F00000X)

What Does Taxonomy Code 156F00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 156F00000X translates to:
"Licensed & Credentialed Technician/Technologist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Technician/Technologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (WILLIBRORD BAGIRANEZA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`156F00000X` — Technician/Technologist Plain English: Licensed & Credentialed Technician/Technologist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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WILLIBRORD BAGIRANEZA (NPI #1306614136)