Individual provider Active NPI

Akaolisa Samuel Eziokwu, M.D.

  • Hematology & Oncology Physician
  • Chillicothe, OH
National Provider Identifier
1265884100
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
35.134475 Issued in OH
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

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0173392MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.cancer.center@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190828001747 OH Practitioner - Internal Medicine 0547553570 Reassigns benefits to 5 organizations
I20210819002211 TX Practitioner - Internal Medicine 0547553570 Reassigns benefits to 3 organizations

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
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

4435 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 542-3030

Hospital & facility affiliations

  • Adena Regional Medical Center Hospital, Chillicothe, OH, CCN 360159
  • Adena Fayette Medical Center Hospital, Washington CH, OH, CCN 361331
  • Greenfield Area Medical Center Hospital, Greenfield, OH, CCN 361304
  • Adena Pike Medical Center Hospital, Waverly, OH, CCN 361334
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.027608OHMDInternal Medicine Physician
35.134475OHMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Nov 23, 2020 Accepting new patients
Jefferson Physician Services, PLLC Internal Medicine CurrentSince Jan 14, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Apogee Medical Group Ohio Inc Internal Medicine CurrentSince Jul 14, 2019 Accepting new patients
Adena Medical Group LLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Nov 23, 2020 Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince Nov 23, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.