Stanley Obinna Ikezi, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

261280 Issued in NY

Practice address

1534 Park Ave
Suite 310
Quakertown, PA 18951-1084

Phone

(215) 538-6430

Fax

(215) 893-7098

NPI assigned

Jun 18, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Pain ManagementAlso: Anesthesiology

Education

State University of New York Downstate Medical Center, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Interfaith Professional Physician Services, P.C.

  • Allergy Physician
  • Brooklyn, NY
  • NPI 1457643991
  Medicare reassignment Care Compare group NPD
• Stanley Ikezi, MD PC

  • Pain Medicine (Anesthesiology) Physician
  • Saint Albans, NY
  • NPI 1497374250
  Medicare reassignment NPD Authorized official
• St. Luke's Physician Group, Inc.

  dba South Mountain Family Practice

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment NPD
• Ae&Ly Ambulatory Endoscopy PLLC

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1609019819
  Medicare reassignment NPD
• Emusc, LLC

  dba EMU Health

  • Ambulatory Surgical Clinic/Center
  • Glendale, NY
  • NPI 1265988182
  Medicare reassignment NPD
• Sedation Vacation Perioperative Medicine PLLC

  • Specialist
  • Valley Stream, NY
  • NPI 1891235404
  Medicare reassignment NPD
• West Side Gi, LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
  • NPI 1588938682
  Medicare reassignment NPD
• Nhpe, LLC

  dba New Hyde Park Endoscopy

  • Ambulatory Surgical Clinic/Center
  • New Hyde Park, NY
  • NPI 1134665193
  Medicare reassignment
• Northeast Endoscopy LLC

  • Ambulatory Surgical Clinic/Center
  • East Setauket, NY
  • NPI 1043845340
  Medicare reassignment
• St. Luke's Physician Group, Inc

  dba St. Luke's General Surgery Monroe

  • Surgery Physician
  • Bartonsville, PA
  • NPI 1104483411
  NPD
• Ae & Ly Medical Associates PLLC

  • Gastroenterology Physician
  • Flushing, NY
  • NPI 1912060229
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1346380870
  Care Compare affiliation
• The Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1356307656
  Care Compare affiliation
• The Brookdale Hospital Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1487724712
  Care Compare affiliation
• The Brookdale Hospital Medical Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Brooklyn, NY
  • NPI 1639756406

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1023245883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1534 PARK AVE",
            "address_2": "SUITE 310",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511084",
            "telephone_number": "215-538-6430",
            "fax_number": "215-893-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 PARK AVE",
            "address_2": "SUITE 310",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511084",
            "telephone_number": "215-538-6430",
            "fax_number": "215-893-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKEZI",
        "first_name": "STANLEY",
        "middle_name": "OBINNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "PA",
            "license": "MD452424",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "261280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Holland, PT, DPT, MS
• Seong Jun Hong, DMD
• Morgan Horst, PT, DPT
• Timothy R Howard, D.O.
• Eileen Liping Hsu
• Judith M Illingworth, LCSW
• International Healing Ministries (Woodlands Healing Research Center)
• Ironwood Counseling
• Zehra Syeda Jafri, MD
• Jamie Helen Janicki, LPC, MAC

• Pain Medicine (Anesthesiology) Physician in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Pain Medicine (Anesthesiology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.