NPIMap

Individual provider Active NPI

Ijeoma Ananaba Ekeruo, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Kingsport, TN
National Provider Identifier
1306095021
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
M9800 Issued in TX
Practice address
2050 Meadowview Pkwy
Kingsport, TN 37660-7332
Phone
(423) 230-5000
Fax
(423) 390-6852
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 75582 AZ
Pediatrics Physician 208000000X 77467 TN
Clinical Cardiac Electrophysiology Physician 207RC0001X M9800 TX Primary
Internal Medicine Physician 207R00000X M9800 TX
Internal Medicine Physician 207R00000X 77467 TN
Cardiovascular Disease Physician 207RC0000X 77467 TN
Cardiovascular Disease Physician 207RC0000X M9800 TX
Clinical Cardiac Electrophysiology Physician 207RC0001X 77467 TN

Addresses

Primary practice location

2050 Meadowview Pkwy
Kingsport, TN 37660-7332

Mailing address

6711 Stella Link Rd # 302
Houston, TX 77005-4342
Phone (832) 305-5693

Other practice location 1

1900 North Loop W Ste 180
Houston, TX 77018-8151
Phone (832) 305-5693

Other practice location 2

7501 Fannin St Ste 705
Houston, TX 77054-1958
Phone (832) 305-5693

Other practice location 3

2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400

Other identifiers 2

IdentifierTypeStateIssuer
198055902MedicaidTX
198055903MedicaidTX

Other names 1

  • Dr. Ijeoma Elewachi Ananaba Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, TN3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090102000370 TX Practitioner - Cardiac ElectrophysiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 0840352688 Reassigns benefits to 3 organizations
I20241120000539 AZ Practitioner - Cardiac Electrophysiology 0840352688 Reassigns benefits to 1 organization
I20260612001531 TN Practitioner - Cardiac Electrophysiology 0840352688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellmont Cardiology ServicesGroup PAC ID 5799970281, 137 clinicians
Heart Rhythm Associates, P.a.Group PAC ID 4284725839, 7 clinicians

Practice addresses (Care Compare)

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366

1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249

1900 N Loop W
Suite 180
Houston, TX 77018-8151
Phone (832) 305-5693

2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400

2050 Meadowview Pkwy
Kingsport, TN 37660-7475
Phone (423) 230-5000

269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000

7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375

920 Medical Plaza Dr
Suite 300
Shenandoah, TX 77380-3256
Phone (281) 825-1866

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
66.85
Promoting interoperability
99
Improvement activities
40
Cost
74.4

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9800TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Arizona Healthcare Corporation Family Medicine CurrentSince Nov 14, 2024 Accepting new patients
Ut Physicians CurrentSince Aug 1, 2013 Accepting new patients
Heart Rhythm Associates, PA Clinical Cardiac Electrophysiology CurrentSince May 1, 2020 Accepting new patients
Ut Physicians Emergency Medicine CurrentSince Aug 1, 2013 Accepting new patients
Houston Cardiothoracic and Vein Surgeons, PLLC CurrentSince Sep 24, 2024 Accepting new patients
Northern Arizona Healthcare Corporation CurrentSince Nov 14, 2024 Accepting new patients
Arrhythmia Care Center Cardiovascular Disease CurrentSince Sep 24, 2024 Accepting new patients
Houston Cardiac Association, PA Cardiovascular Disease Current Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251

1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235

2000 S Thompson St
Flagstaff, AZ 86001
Phone (928) 213-1051

1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249

6431 Fannin St
#1246
Houston, TX 77030
Phone (713) 500-6590

1200 Binz St
Ste 540
Houston, TX 77004
Phone (281) 422-3364

4825 Almeda Rd
Houston, TX 77004
Phone (346) 330-9906

6400 Fannin St
Ste 2550
Houston, TX 77030
Phone (713) 486-1625

5550 Kelley St
Houston, TX 77026
Phone (713) 218-2697

1900 North Loop W
Ste 180
Houston, TX 77018
Phone (281) 888-0809

7501 Fannin St
Ste 705
Houston, TX 77054
Phone (713) 589-5283

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

23923 Cinco Ranch Blvd
Katy, TX 77494
Phone (713) 486-5300

920 Medical Plaza Dr
Ste 300
Shenandoah, TX 77380
Phone (281) 296-0788

8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200

6711 Stella Link Rd
West University Place, TX 77005
Phone (713) 512-5998

Interoperability endpoints

  • Direct secure messaging: iekeruo12246@direct.uth.org
  • Direct secure messaging: ijeoma.ekeruo@hras.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1306095021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 STELLA LINK RD # 302",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770054342",
            "telephone_number": "832-305-5693",
            "fax_number": "807-333-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 MEADOWVIEW PKWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607332",
            "telephone_number": "423-230-5000",
            "fax_number": "423-390-6852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 North Loop W Ste 180",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770188151",
            "country_code": "US",
            "telephone_number": "832-305-5693",
            "fax_number": "807-333-0403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7501 Fannin St Ste 705",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770541958",
            "country_code": "US",
            "telephone_number": "832-305-5693",
            "fax_number": "807-333-0403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 S Thompson St",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860018759",
            "country_code": "US",
            "telephone_number": "928-226-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EKERUO",
        "first_name": "IJEOMA",
        "middle_name": "ANANABA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "75582",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "77467",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "M9800",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M9800",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "77467",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "77467",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M9800",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TN",
            "license": "77467",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198055902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198055903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IJEOMA",
            "last_name": "ANANABA",
            "middle_name": "ELEWACHI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.