NPIMap

Individual provider Active NPI

Amobi Ezenekwe, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Denver, CO
National Provider Identifier
1396842787
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
DR.0059994 Issued in CO
Practice address
6116 E Warren Ave
Denver, CO 80222-5703
Phone
(303) 512-0888
Fax
(303) 512-2268
NPI assigned
Sep 20, 2006
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 01060496 IN
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X DR.0059994 CO Primary

Addresses

Primary practice location

6116 E Warren Ave
Denver, CO 80222-5703

Mailing address

103 Continental PL Ste 400
Brentwood, TN 37027-1073
Phone (615) 916-3217

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180412000403 CO Practitioner - Pathology 5193755411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Irl Pathology Services LLCGroup PAC ID 4082970199, 22 clinicians

Practice addresses (Care Compare)

9191 Grant St
Thornton, CO 80229-4361
Phone (303) 450-4472

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Irl Pathology Services, LLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Organizations & group practices 2

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1396842787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CONTINENTAL PL STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271073",
            "telephone_number": "615-916-3217",
            "fax_number": "615-916-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 E WARREN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802225703",
            "telephone_number": "303-512-0888",
            "fax_number": "303-512-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZENEKWE",
        "first_name": "AMOBI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IN",
            "license": "01060496",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "DR.0059994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.