Active NPI
Akaolisa Samuel Eziokwu, M.D.
- Hematology & Oncology Physician
- Chillicothe, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 35.134475
- Practice address
- 4435 State Route 159
Chillicothe, OH 45601-8620 - Phone
- (740) 542-3030
- NPI assigned
- Jul 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.134475 | OH | |
| Internal Medicine Physician | 207R00000X | 57.027608 | OH | |
| Hematology & Oncology Physician | 207RH0003X | 35.134475 | OH | Primary |
Addresses
Primary practice location
4435 State Route 159
Chillicothe, OH 45601-8620
Mailing address
4435 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 542-3030
Other practice location 1
3789 Taft Ave
Beavercreek, OH 45431-1694
Phone (216) 630-5719
Other practice location 2
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 445-7681 ext. 88537
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0173392 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adena.cancer.center@adena.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4435 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 542-3030
Hospital & facility affiliations
- Adena Regional Medical Center
- Adena Fayette Medical Center
- Greenfield Area Medical Center
- Adena Pike Medical Center
- Ohio State University State Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.027608 | OH | MD | Internal Medicine Physician |
| 35.134475 | OH | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Jefferson Physician Services, PLLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Ohio Inc | Internal Medicine | Current | Accepting new patients |
| Adena Medical Group LLC | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Upper Valley Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Adena Fayette Medical Center | Past | Accepting new patients |
Locations (25 of 27)
1025 Center St
Ashland, OH 44805
Phone (419) 207-2370
2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919
4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570
4435 State Route 159
Chillicothe, OH 45601
Phone (740) 542-3030
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000
100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000
450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
1510 Columbus Ave
Ste 130
Washington Court House, OH 43160
Phone (740) 333-2878
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530
1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058
601 E 15th St
Austin, TX 78701
Phone (512) 324-7868
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
201 Seton Pkwy
Round Rock, TX 78665
Phone (512) 324-1010
Interoperability endpoints
- aeziokwu1226060@direct.osumc.edu
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Ashtabula, OH
- NPI 1477500999
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Family Medicine Physician
- Troy, OH
- NPI 1407872518
Internal Medicine
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
-
- Internal Medicine Physician
- Beaumont, TX
- NPI 1598546764
-
- Internal Medicine Physician
- Middletown, OH
- NPI 1497154827
-
- Critical Access Hospital
- Washington Court House, OH
- NPI 1508978677
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Washington Court House, OH
- NPI 1508978677
-
- General Acute Care Hospital
- Chillicothe, OH
- NPI 1902839673
-
- Critical Access Hospital
- Greenfield, OH
- NPI 1215960901
-
- Rehabilitation Hospital Unit
- Columbus, OH
- NPI 1184723637
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1447359997
-
- Psychiatric Hospital Unit
- Columbus, OH
- NPI 1790876183
-
- Critical Access Hospital
- Waverly, OH
- NPI 1720018971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1265884100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4435 STATE ROUTE 159",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018620",
"telephone_number": "740-542-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4435 STATE ROUTE 159",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018620",
"telephone_number": "740-542-3030"
}
],
"practiceLocations": [
{
"address_1": "3789 Taft Ave",
"address_purpose": "LOCATION",
"city": "Beavercreek",
"state": "OH",
"postal_code": "454311694",
"country_code": "US",
"telephone_number": "216-630-5719",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9500 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441950001",
"country_code": "US",
"telephone_number": "216-445-7681 x88537",
"fax_number": "216-445-6290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EZIOKWU",
"first_name": "AKAOLISA",
"middle_name": "SAMUEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-04",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.134475",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.027608",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "35.134475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0173392",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adena.cancer.center@adena.medicity.net",
"affiliation": "N",
"address_1": "4435 State Route 159",
"city": "Chillicothe",
"state": "OH",
"country_code": "US",
"postal_code": "456018620",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.