NPIMap

Individual provider Active NPI

Ikenna I Ezumba, MD

  • Nephrology Physician
  • Westminster, MD
National Provider Identifier
1619167202
Registry record updated Jun 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0066394 Issued in MD
Practice address
826 Washington Rd Ste 205
Westminster, MD 21157-5780
Phone
(410) 386-9099
Fax
(410) 386-9098
NPI assigned
Jul 30, 2007
Last updated
Jun 29, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2019

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 10655 ND
Nephrology Physician 207RN0300X D0066394 MD Primary
Internal Medicine Physician 207R00000X D0066394 MD

Addresses

Primary practice location

826 Washington Rd Ste 205
Westminster, MD 21157-5780

Mailing address

826 Washington Rd Ste 205
Westminster, MD 21157-5780
Phone (410) 386-9099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20071025000473 MD Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Hospitalist 4880781681 Reassigns benefits to 3 organizations
I20160622000169 DC Practitioner - NephrologyPractitioner - Internal Medicine 4880781681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

826 Washington Rd
Westminster, MD 21157-5780
Phone (410) 386-9099

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.95 of 100Reported as individual
Quality
89.9
Promoting interoperability
100
Improvement activities
40
Cost
76.59

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0066394MDMDInternal Medicine Physician
10655NDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Nephrology Associates, L.L.P. Nephrology CurrentSince May 11, 2016 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Apr 22, 2019 Accepting new patients
Upper Chesapeake Medical Services, Inc CurrentSince Apr 5, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Apr 22, 2019 Accepting new patients
Maryland Kidney Care LLC Nephrology CurrentSince Dec 15, 2018 Accepting new patients
Mwrdc of Annapolis Nephrology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

4915 Auburn Ave
Ste 200
Bethesda, MD 20814
Phone (301) 907-3939

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

826 Washington Rd
Ste 205
Westminster, MD 21157
Phone (410) 386-9099

4141A Duke St
Alexandria, VA 22304
Phone (703) 461-3556

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19338/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ikenna.ezumba.1@19338.direct.athenahealth.com

Organizations & group practices 7

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 8

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": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561766400000",
    "number": "1619167202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD STE 205",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575780",
            "telephone_number": "410-386-9099",
            "fax_number": "410-386-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON RD STE 205",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575780",
            "telephone_number": "410-386-9099",
            "fax_number": "410-386-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZUMBA",
        "first_name": "IKENNA",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2019-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "10655",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0066394",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0066394",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

Verify at the official NPI Registry.