Individual provider Active NPI

Chinedu Olisaemeka Ejike, M.D.

  • Pulmonary Disease Physician
  • Ann Arbor, MI
National Provider Identifier
1831415637
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35.120851 Issued in OH
Practice address
1500 E Medical Center Drive
B1 Floor Taubman Center Recp Mos RM 126
Ann Arbor, MI 48109-5317
Phone
(734) 232-2867
NPI assigned
Apr 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01100202A IN
Pulmonary Disease Physician 207RP1001X 35.120851 OH Primary
Internal Medicine Physician 207R00000X 4301108174 MI
Pulmonary Disease Physician 207RP1001X 01100202A IN
Internal Medicine Physician 207R00000X D85059 MD
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 35.120851 OH

Addresses

Primary practice location

1500 E Medical Center Drive
B1 Floor Taubman Center Recp Mos RM 126
Ann Arbor, MI 48109-5317

Mailing address

1921 River Vista Dr
Essex, MD 21221-3450
Phone (301) 675-7160

Other practice location 1

230 W Patrick St
Frederick, MD 21701-6945
Phone (240) 215-6310

Other practice location 2

1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (240) 215-6310

Other practice location 3

501 W 7th St
Frederick, MD 21701-4586
Phone (240) 215-6310

Other practice location 4

3000D Ventrie Ct
Myersville, MD 21773-7817
Phone (240) 215-6310

Other practice location 5

3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310

Other practice location 6

15 E Frederick St
Walkersville, MD 21793-8234
Phone (240) 215-6310

Other practice location 7

400 W 7th St
Frederick, MD 21701-4506
Phone (240) 215-6310

Other practice location 8

75 Thomas Johnson Dr
Frederick, MD 21702-4895
Phone (240) 215-6310

Other practice location 9

16403 Old Emmitsburg Rd
Emmitsburg, MD 21727-8929
Phone (240) 215-6310

Other practice location 10

141 Thomas Johnson Dr
Frederick, MD 21702-4502
Phone (301) 846-0100

Other practice location 11

7211 Bank Ct
Frederick, MD 21703-8483
Phone (240) 215-6310

Other practice location 12

504 E Ridgeville Blvd
Mount Airy, MD 21771-5942
Phone (240) 215-6310

Other practice location 13

194 Thomas Johnson Dr
Frederick, MD 21702-4679
Phone (240) 215-6310

Other identifiers 2

IdentifierTypeStateIssuer
35.120851OtherOHOHIO LICENSE
D0085059OtherMDMARYLAND MD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MD, DC, NC, KY, IN7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20130613000239 OH Practitioner - Internal Medicine 6709025216 Reassigns benefits to 1 organization
I20181003001704 MD Practitioner - Internal Medicine 6709025216 Reassigns benefits to 2 organizations
I20210813000092 DC Practitioner - Internal Medicine 6709025216 Reassigns benefits to 2 organizations
I20250613002410 OH Practitioner - Pulmonary Disease 6709025216 Reassigns benefits to 1 organization
I20251030002670 NC Practitioner - Internal Medicine 6709025216 Reassigns benefits to 1 organization
I20251111000462 KY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6709025216 Reassigns benefits to 1 organization
I20260623000249 IN Practitioner - Internal MedicinePractitioner - Pulmonary Disease 6709025216

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians
DLP Western Carolina Physician Practices LLCGroup PAC ID 9032338975, 177 clinicians

Practice addresses (Care Compare)

1301 N Race St
Glasgow, KY 42141-3454
Phone (270) 651-4444

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000

70 Westcare Dr
Suite 404
Sylva, NC 28779-5279
Phone (828) 586-7795

Hospital & facility affiliations

  • T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017
  • Harris Regional Hospital Hospital, Sylva, NC, CCN 340016
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039

Merit-based Incentive Payment System (MIPS)

Final score
83.07 of 100Reported as group
Quality
75.5
Promoting interoperability
100
Improvement activities
40
Cost
68.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01100202AINMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group LLC Internal Medicine CurrentSince Jun 13, 2025 Accepting new patients
St Agnes Healthcare Inc Internal Medicine CurrentSince Apr 24, 2023 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince Nov 20, 2023 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Aug 17, 2022 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Aug 29, 2025 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Aug 17, 2022 Accepting new patients
Usacs Critical Care Medicine Services East, LLC Critical Care Medicine CurrentSince Jan 1, 2022 Accepting new patients
Frederick Health Medical Group LLC Internal Medicine Current Accepting new patients
Genesis Medical Group, LLC CurrentSince Jun 13, 2025 Accepting new patients
St Agnes Healthcare Inc CurrentSince Apr 24, 2023 Accepting new patients
T J Samson Community Hospital CurrentSince Oct 24, 2025 Accepting new patients
Usacs Integrated Acute Care Services of Maryland, LLC Internal Medicine CurrentSince Jul 20, 2021 Accepting new patients
DLP Western Carolina Physician Practices LLC Internal Medicine CurrentSince Aug 29, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

16403 Old Emmitsburg Rd
Emmitsburg, MD 21727
Phone (240) 566-3100

230 W Patrick St
Frederick, MD 21701
Phone (240) 215-6370

194 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 215-6370

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

7211 Bank Ct
Ste 200
Frederick, MD 21703
Phone (240) 457-4605

75 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 631-3674

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

501 W 7th St
Frederick, MD 21701
Phone (301) 360-2574

141 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 620-7478

504 E Ridgeville Blvd
Mount Airy, MD 21771
Phone (301) 703-5452

3000D Ventrie Ct
Myersville, MD 21773
Phone (301) 663-3137

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

3430 Worthington Blvd
Urbana, MD 21704
Phone (240) 874-2530

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

70 Westcare Dr
Ste 404
Sylva, NC 28779
Phone (828) 586-4151

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

945 Bethesda Dr
Ste 260
Zanesville, OH 43701
Phone (740) 450-4180

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1831415637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 RIVER VISTA DR",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213450",
            "telephone_number": "301-675-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DRIVE",
            "address_2": "B1 FLOOR TAUBMAN CENTER RECP MOS RM 126",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095317",
            "telephone_number": "734-232-2867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 W Patrick St",
            "address_purpose": "LOCATION",
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            "postal_code": "217016945",
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            "telephone_number": "240-215-6310",
            "country_name": "United States",
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        },
        {
            "address_1": "1562 Opossumtown Pike",
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            "postal_code": "217024920",
            "country_code": "US",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 W 7th St",
            "address_purpose": "LOCATION",
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            "postal_code": "217014586",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000D Ventrie Ct",
            "address_purpose": "LOCATION",
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            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 Worthington Blvd",
            "address_purpose": "LOCATION",
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            "state": "MD",
            "postal_code": "217047017",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 E Frederick St",
            "address_purpose": "LOCATION",
            "city": "Walkersville",
            "state": "MD",
            "postal_code": "217938234",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W 7th St",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217014506",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Thomas Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024895",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16403 Old Emmitsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Emmitsburg",
            "state": "MD",
            "postal_code": "217278929",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Thomas Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024502",
            "country_code": "US",
            "telephone_number": "301-846-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7211 Bank Ct",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217038483",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 E Ridgeville Blvd",
            "address_purpose": "LOCATION",
            "city": "Mount Airy",
            "state": "MD",
            "postal_code": "217715942",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "194 Thomas Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Frederick",
            "state": "MD",
            "postal_code": "217024679",
            "country_code": "US",
            "telephone_number": "240-215-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EJIKE",
        "first_name": "CHINEDU",
        "middle_name": "OLISAEMEKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01100202A",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35.120851",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301108174",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01100202A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D85059",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OH",
            "license": "35.120851",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "35.120851",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND  MD LICENSE",
            "identifier": "D0085059",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.