Uchenna Bridget Ezenekwe, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209015844 Issued in IL

Practice address

700 E Ogden Ave Ste 202
Westmont, IL 60559-1296

Phone

(630) 789-9785

Fax

(630) 789-9798

NPI assigned

Jul 21, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Uche Bridget Ezenekwe Professional name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suburban Pulmonary and Sleep Associates LTDGroup PAC ID 3476531088, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uchicago Medicine Adventhealth Hinsdale Hospital, Hinsdale, IL, CCN 140122
• Uchicago Medicine Adventhealth la Grange Hospital, La Grange, IL, CCN 140065
• Uchicago Medicine Adventhealth Glenoaks Hospital, Glendale Heights, IL, CCN 140292
• Uchicago Medicine Adventhealth Bolingbrook Hospital, Bolingbrook, IL, CCN 140304

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4021/brand/1/csg/1/fhir/r4
• Direct secure messaging: uchenna.ezenekwe.2@4021.direct.athenahealth.com

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.

• Suburban Pulmonary & Sleep Associates LTD

  • Pulmonary Disease Physician
  • Westmont, IL
  • NPI 1649283896
  Medicare reassignment Care Compare group NPD
• Housecalls Done Wright LTD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1699317693
  Medicare reassignment NPD

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

• Adventist Bolingbrook Hospital

  • General Acute Care Hospital
  • Bolingbrook, IL
  • NPI 1164530465
  Care Compare affiliation
• Adventist Glenoaks Hospital

  • Psychiatric Hospital Unit
  • Glendale Heights, IL
  • NPI 1477572949
  Care Compare affiliation
• Adventist Glenoaks Hospital

  • General Acute Care Hospital
  • Glendale Heights, IL
  • NPI 1760415939
  Care Compare affiliation
• Adventist Midwest Health

  • General Acute Care Hospital
  • Hinsdale, IL
  • NPI 1265465439
  Care Compare affiliation
• Adventist Midwest Health

  • General Acute Care Hospital
  • La Grange, IL
  • NPI 1407889652
  Care Compare affiliation
• Adventist Midwest Health

  • Psychiatric Hospital Unit
  • Hinsdale, IL
  • NPI 1447270780
  Care Compare affiliation
• Adventist Midwest Health

  • Rehabilitation Hospital Unit
  • La Grange, IL
  • NPI 1588068274
  Care Compare affiliation

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1790208668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591398",
            "telephone_number": "630-789-9785",
            "fax_number": "630-789-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 202",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591296",
            "telephone_number": "630-789-9785",
            "fax_number": "630-789-9798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 S Clark St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606051782",
            "country_code": "US",
            "telephone_number": "310-702-6171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZENEKWE",
        "first_name": "UCHENNA",
        "middle_name": "BRIDGET",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "UCHE",
            "last_name": "EZENEKWE",
            "middle_name": "BRIDGET",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Nurse Practitioner in Westmont, IL
• Providers in Westmont, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.