Ikenna S. Nzeogu, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

DO2025-0026 Issued in NM

Practice address

388 Ben Bolt Ave
Tazewell, VA 24651-5386

Phone

(276) 988-8740

Fax

(276) 988-5941

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, VA, WV, KY, PA, MI, IN, NM, IL9 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 9

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alexandria Springfield Emergency Physicians PC 38 clinicians

RH Emergency Medicine of Caldwell Medical LLC 8 clinicians

Fedko Emergency Physicians New Mexico, LLC 53 clinicians

Ohio County Hospital Corporation 84 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305
• Bon Secours Southern Virginia Medical Center Hospital, Emporia, VA, CCN 490097
• Roosevelt General Hospital Hospital, Portales, NM, CCN 320084
• Ohio County Hospital Hospital, Hartford, KY, CCN 181323
• Grafton City Hospital, Inc Hospital, Grafton, WV, CCN 511307

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations (25 of 60)

Interoperability endpoints

• Direct secure messaging: ikennanzeogu@rghnm.medalliesdirect.net
• Direct secure messaging: inzeogu65419@direct.kdhealth.us
• FHIR API: https://fhir-usa.unify.chbase.com/org/grafton-33215f04
• Direct secure messaging: inzeogu3799477@oc.providencedirect.org
• Direct secure messaging: ikenna.nzeogu.1@15486.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.

• Alexandria Springfield Emergency Physicians PC

  • Emergency Medicine Physician
  • Franklin, VA
  • NPI 1740529700

  Emergency Medicine, VA

  Medicare reassignment Care Compare group NPD
• Fedko Emergency Physicians New Mexico LLC

  • Emergency Medicine Physician
  • Grants, NM
  • NPI 1770047441

  Emergency Medicine, NM

  Medicare reassignment Care Compare group NPD
• Ohio County Hospital Corporation

  • Surgery Physician
  • Hartford, KY
  • NPI 1407049000

  KY

  Medicare reassignment Care Compare group NPD
• Ohio County Hospital Corporation

  • Critical Access Hospital
  • Hartford, KY
  • NPI 1629007430

  KY

  Medicare reassignment Care Compare group NPD
• RH Emergency Medicine of Caldwell Medical, LLC

  • Emergency Medicine Physician
  • Princeton, KY
  • NPI 1881376747

  Emergency Medicine, KY

  Medicare reassignment Care Compare group NPD
• Blue Ridge Medical Management Corporation

  • Cardiovascular Disease Physician
  • Marion, VA
  • NPI 1326159567

  VA

  Medicare reassignment NPD
• Carilion Medical Center

  • Emergency Medicine Physician
  • Roanoke, VA
  • NPI 1649423815

  Emergency Medicine, VA

  Medicare reassignment NPD
• Emergency Physicians of Southern Virginia LLP

  • Emergency Medicine Physician
  • Galax, VA
  • NPI 1417187667

  Emergency Medicine, VA

  Medicare reassignment NPD
• Ingleside Emergency Group, LLC

  • Emergency Medicine Physician
  • Low Moor, VA
  • NPI 1144712662

  Emergency Medicine, VA

  Medicare reassignment NPD
• Western Virginia Regional Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Norton, VA
  • NPI 1386183028

  Emergency Medicine, VA

  Medicare reassignment NPD
• App of Tennessee Ed, PLLC

  • Emergency Medicine Physician
  • Maryville, TN
  • NPI 1003230236

  Emergency Medicine, VA

  Medicare reassignment NPD
• Beckley Emergency Physicians LLC

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1376757674

  Emergency Medicine, WV

  Medicare reassignment NPD

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

• Bon Secours Mercy Health Emporia LLC

  • General Acute Care Hospital
  • Emporia, VA
  • NPI 1104461276

  Hospital

  Care Compare affiliation
• Grafton City Hospital Inc

  • Critical Access Hospital
  • Grafton, WV
  • NPI 1265484893

  Hospital

  Care Compare affiliation
• Nor-Lea Hospital District

  • Critical Access Hospital
  • Lovington, NM
  • NPI 1881630036

  Hospital

  Care Compare affiliation
• Ohio County Hospital Corporation

  • Critical Access Hospital
  • Hartford, KY
  • NPI 1629007430

  Hospital

  Care Compare affiliation
• Roosevelt County Special Hospital District

  • General Acute Care Hospital
  • Portales, NM
  • NPI 1073517058

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1821068420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 BEN BOLT AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246515386",
            "telephone_number": "276-988-8740",
            "fax_number": "276-988-5941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Plz",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "WV",
            "postal_code": "263541283",
            "country_code": "US",
            "telephone_number": "304-265-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405042701",
            "country_code": "US",
            "telephone_number": "859-258-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Fairman Ave",
            "address_purpose": "LOCATION",
            "city": "Watseka",
            "state": "IL",
            "postal_code": "609701644",
            "country_code": "US",
            "telephone_number": "815-432-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NZEOGU",
        "first_name": "IKENNA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "04652",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "3039",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "DO2025-0026",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "3039",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203356",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2048153",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "000000378682",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000527464",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ikenna.nzeogu.1@15486.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 E Fairman Ave",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609701644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas H Moss, MD
• Shelby Leigh Mutter, DPT
• Rachael Myers, MSW-S
• Sara Necessary, RN, BSN, MBA
• Katie Newsome-Deel, APRN
• Olde Virginia Pharmacy, Inc.
• Ladonna Lee Osborne, CFNP
• Pablo M Carpio, MD, PC
• Tristen Amber Pack, PA-C
• Queenasia Marie Padgett

• All providers in Tazewell, VA
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.