Active NPI
Ngozi Ezike, MD
- Internal Medicine Physician
- Baltimore, MD
National Provider Identifier
1316934953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D58730
- Practice address
- 251 Bayview Blvd Ste 100
Baltimore, MD 21224-2816 - Phone
- (410) 558-8627
- Fax
- (410) 558-8067
- NPI assigned
- Sep 29, 2005
- Last updated
- Aug 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D58730 | MD | Primary |
Addresses
Primary practice location
251 Bayview Blvd Ste 100
Baltimore, MD 21224-2816
Mailing address
3501 Sinclair LN
Baltimore, MD 21213-2029
Phone (410) 558-4888
Other names 1
- Ngozi Ejiogu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D58730 | MD | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566345600000",
"number": "1316934953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 SINCLAIR LN",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212132029",
"telephone_number": "410-558-4888",
"fax_number": "410-327-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 BAYVIEW BLVD STE 100",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212242816",
"telephone_number": "410-558-8627",
"fax_number": "410-558-8067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZIKE",
"first_name": "NGOZI",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-29",
"last_updated": "2019-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D58730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NGOZI",
"last_name": "EJIOGU",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.