Camellus O Ezeugwu, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

D0053981 Issued in MD

Practice address

300 Armory PL
Ste 3M
Baltimore, MD 21201-4603

Phone

(410) 225-8615

Fax

(410) 462-5095

NPI assigned

Jun 16, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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 MedicineAlso: Cardiovascular Disease (Cardiology), Critical Care (Intensivists)

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Just Heart Cardiovascular Group Inc.Group PAC ID 7416854286, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Johns Hopkins Hospital, the Hospital, Baltimore, MD, CCN 210009

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6661/brand/1/csg/1/fhir/r4
• Direct secure messaging: camellus.ezeugwu.1@6661.direct.athenahealth.com

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.

• Just Heart Cardiovascular Group Inc.

  • Specialist
  • Baltimore, MD
  • NPI 1659318152
  Medicare reassignment Care Compare group NPD Authorized official
• Grace Medical Center, Inc.

  • Mammography Clinic/Center
  • Baltimore, MD
  • NPI 1326629619
  Medicare reassignment NPD
• Sinai Hospital of Baltimore Inc

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1043235666
  Medicare reassignment NPD
• Echostat LLC

  • Cardiovascular Specialist/Technologist
  • Gaithersburg, MD
  • NPI 1932096120
  NPD
• BW Imaging Inc

  • Radiologic Technologist
  • Pikesville, MD
  • NPI 1730104621
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Grace Medical Center, Inc.

  • Basic Emergency Medical Technician
  • Baltimore, MD
  • NPI 1659698124
  NPD (past)
• Grace Medical Center, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1962480772
  NPD (past)
• One Heart LLC

  • Cardiovascular Disease Physician
  • Ellicott City, MD
  • NPI 1194930115
  NPD (past)

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

• The Johns Hopkins Hospital

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1578597993
  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1194720110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 SAINT JOHNS LN",
            "address_2": "PO BOX 6545",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210425337",
            "telephone_number": "410-225-8615",
            "fax_number": "410-462-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ARMORY PL",
            "address_2": "STE 3M",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014603",
            "telephone_number": "410-225-8615",
            "fax_number": "410-462-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZEUGWU",
        "first_name": "CAMELLUS",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0053981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ezedi Ezeh
• Angelica Kenechukwu Ezeigwe
• Alfred Ezekwesili
• Jane Ijeaku Ezekwesili
• Adindu David Ezeocha, PHARM.D
• Ngozi Ezike, MD
• Moshe Ezra
• Yisrael Ezra
• F Kamara Medical, P.C.
• Fa Medical LLC

• Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; 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.