Individual provider Active NPI

Chinyere Ezenwa, M.D.

  • Internal Medicine Physician
  • Cheektowaga, NY
National Provider Identifier
1184046088
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
275928 Issued in NY
Practice address
2605 Harlem Rd
Cheektowaga, NY 14225-4018
Phone
(716) 816-8947
NPI assigned
Jan 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 275928 NY Primary

Addresses

Primary practice location

2605 Harlem Rd
Cheektowaga, NY 14225-4018

Mailing address

8879 Connemara LN
Clarence Center, NY 14032-9515
Phone (716) 816-8947

Other practice location 1

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20140911001691 NY Practitioner - Internal MedicinePractitioner - Hospitalist 9335368067 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Buffalo-Niagara Hospitalists LLCGroup PAC ID 3375789050, 36 clinicians
Roswell Park Cancer InstituteGroup PAC ID 3577475110, 487 clinicians

Practice addresses (Care Compare)

2950 Elmwood Ave
Kenmore, NY 14217-1304
Phone (716) 447-6100

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Medical PC Internal Medicine CurrentSince Dec 12, 2016 Accepting new patients
Apogee Medical Group, New York, PC Internal Medicine CurrentSince Jul 28, 2015 Accepting new patients
Buffalo-Niagara Hospitalists LLC CurrentSince May 13, 2024 Accepting new patients
Roswell Park Cancer Institute CurrentSince Jul 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of New York, PLLC CurrentSince Jan 1, 2022 Accepting new patients
Cogent Medical Care PC Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
Roswell Park Cancer Institute CurrentSince Jul 1, 2024 Accepting new patients
Kenmore Mercy Hospital Past Accepting new patients

Locations

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

Elm and Carlton St
Buffalo, NY 14263

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

Dept 8000
Buffalo, NY 14267

2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315

515 Main St
Olean, NY 14760
Phone (716) 373-2600

101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1184046088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8879 CONNEMARA LN",
            "city": "CLARENCE CENTER",
            "state": "NY",
            "postal_code": "140329515",
            "telephone_number": "716-816-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 HARLEM RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142254018",
            "telephone_number": "716-816-8947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Elm and Carlton St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142630001",
            "country_code": "US",
            "telephone_number": "716-845-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZENWA",
        "first_name": "CHINYERE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "275928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheektowaga, NY

Sources for this page

Verify at the official NPI Registry.