Uchenna A Ezike, M.D

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

OH 35093594 Issued in OH

Practice address

370 Cline Ave
Mansfield, OH 44907-1057

Phone

(419) 709-9597

NPI assigned

Mar 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ohiohealth Home Health With Compassus Home health agency, Dublin, OH, CCN 367615
• Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118
• Avita Ontario Hospital, Ontario, OH, CCN 360365
• Galion Community Hospital Hospital, Galion, OH, CCN 361325

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabriella Domka, CNP

  • Family Nurse Practitioner
  • Mansfield, OH
  • NPI 1588192041
  Medicare reassignment
• Chinedu Peter Ezike, CNP

  • Family Nurse Practitioner
  • Mansfield, OH
  • NPI 1477215572
  Medicare reassignment

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.

• Galion Community Hospital

  • Critical Access Hospital
  • Galion, OH
  • NPI 1215907522

  Internal Medicine

  Medicare reassignment NPD
• Mid Ohio Infectious Diseases Clinic LLC

  • Medical Specialty Clinic/Center
  • Mansfield, OH
  • NPI 1164652822
  NPD Authorized official
• North Central Ohio Family Care Center, Inc

  • Specialist
  • Galion, OH
  • NPI 1689822827
  Medicare reassignment
• Galion Community Hospital

  • Pharmacy
  • Crestline, OH
  • NPI 1346061256
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

• Avita Ontario Hospital

  • General Acute Care Hospital
  • Ontario, OH
  • NPI 1790131050
  Care Compare affiliation
• Compassus Ohiohealth Columbus HHA, LLC

  • Home Health Agency
  • Dublin, OH
  • NPI 1821103227
  Care Compare affiliation
• Galion Community Hospital

  • Critical Access Hospital
  • Galion, OH
  • NPI 1215907522
  Care Compare affiliation
• Medcentral Health System

  • General Acute Care Hospital
  • Mansfield, OH
  • NPI 1790837235
  Care Compare affiliation
• Medcentral Health System

  • Clinical Medical Laboratory
  • Mansfield, OH
  • NPI 1962888016

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1174780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1073630893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5096",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449015096",
            "telephone_number": "419-709-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 CLINE AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071057",
            "telephone_number": "419-709-9597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 Richland Mall",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OH",
            "postal_code": "449063802",
            "country_code": "US",
            "telephone_number": "419-468-0965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 Portland Way S",
            "address_purpose": "LOCATION",
            "city": "Galion",
            "state": "OH",
            "postal_code": "448332312",
            "country_code": "US",
            "telephone_number": "419-468-0965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZIKE",
        "first_name": "UCHENNA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-25",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "R1428",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OH",
            "license": "OH 35093594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2595286",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uezike539425@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "269 Portland Way S",
            "city": "Galion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "448332312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "uezike539425@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "715 Richland Mall",
            "city": "Ontario",
            "state": "OH",
            "country_code": "US",
            "postal_code": "449063802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shalom Faith Ewing, LPN
• Express Imaging
• Katherine Rebecca Exten, M.D.
• Eye Care for You in Mansfield Inc
• Chinedu Peter Ezike, CNP
• Ralph Barnal Facio Jr.
• Anthony Nabil Fahmy, M.D.
• Katherine Failor, LISW-S
• Erin Beirne Fain, M.D.
• Jonathan Simon Fain, MD

• Infectious Disease Physician in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Infectious Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.