Cosmas Onyedika Ihezie, MD, CSFA

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

University of Texas Health Science Center at Tyler
11937 U.S. Hwy. 271
Tyler, TX 75708-4603

Phone

(903) 877-7200

NPI assigned

Nov 13, 2023

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 TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: cihezie1349049@ahs.direct-ci.com

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1174397988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 LAKE FOREST DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750192826",
            "telephone_number": "469-237-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER",
            "address_2": "11937 U.S. HWY. 271",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757084603",
            "telephone_number": "903-877-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IHEZIE",
        "first_name": "COSMAS",
        "middle_name": "ONYEDIKA",
        "credential": "MD, CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Guadalupe Ibanez
• Jose Luis Ibarra, OTR
• Richard D Idell, M.D.
• Steven Idell, MD
• Adebola Temitope Ifafore, M.D
• Ikids Pediatric Dentistry Tyler, PLLC
• Grace Effiong Imoh, RN
• Independent Anesthesia LLC
• Infucare, LTD
• Linda Ingham, RN

• Student in an Organized Health Care Education/Training Program in Tyler, TX
• Providers in Tyler, TX by specialty
• Student in an Organized Health Care Education/Training Program in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.

Verify at the official NPI Registry.