Individual provider Active NPI

Chizoba Ngesina, M.D.

  • Emergency Medicine Physician
  • Knoxville, TN
National Provider Identifier
1720467624
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.136844 Issued in OH
Practice address
Teamhealth
265 Brookview Centre Way Suite 400
Knoxville, TN 37919
Phone
(856) 686-4368
Fax
(658) 488-5368
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2018016631 MO
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 35.136844 OH Primary

Addresses

Primary practice location

Teamhealth
265 Brookview Centre Way Suite 400
Knoxville, TN 37919

Mailing address

1025 Grissom Farm Rd
Garner, NC 27529-7001
Phone (919) 561-8429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 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
I20200128000780 OH Practitioner - Emergency Medicine 1658662994 Reassigns benefits to 3 organizations
I20231220002262 NC Practitioner - Emergency Medicine 1658662994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N/ANCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince Jan 1, 2020 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Jun 1, 2021 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

1000 McKinley Park Dr
Marion, OH 43302
Phone (740) 383-8400

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

Organizations & group practices 4

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 2

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1720467624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 GRISSOM FARM RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275297001",
            "telephone_number": "919-561-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEAMHEALTH",
            "address_2": "265 BROOKVIEW CENTRE WAY SUITE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "856-686-4368",
            "fax_number": "658-488-5368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGESINA",
        "first_name": "CHIZOBA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2018016631",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.136844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.