Active NPI
Chidera Ezenekwe, MD
- Student in an Organized Health Care Education/Training Program
- Cincinnati, OH
National Provider Identifier
1124715875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 3188 Bellevue Ave
Cincinnati, OH 45219-2369 - Phone
- (513) 584-4505
- Fax
- (513) 584-0468
- NPI assigned
- Apr 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036180377 | IL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Mailing address
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-4505
Other practice location 1
251 E Huron St Ste 16-738
Chicago, IL 60611-3055
Phone (312) 926-5924
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230918000470 | OH | Order and Referring Only - Internal Medicine | 7810351392 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1124715875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3188 BELLEVUE AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192369",
"telephone_number": "513-584-4505",
"fax_number": "513-584-0468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3188 BELLEVUE AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452192369",
"telephone_number": "513-584-4505",
"fax_number": "513-584-0468"
}
],
"practiceLocations": [
{
"address_1": "251 E Huron St Ste 16-738",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606113055",
"country_code": "US",
"telephone_number": "312-926-5924",
"fax_number": "312-926-6134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EZENEKWE",
"first_name": "CHIDERA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-21",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036180377",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.