Ezea Daniel Ede, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

H9627 Issued in TX

Practice address

1295 Pearl St
Beaumont, TX 77701-3643

Phone

(409) 835-8530

Fax

(409) 839-2352

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ezea.ede.1@16333.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.

• Sound Physicians Emergency Medicine of Texas PLLC

  • Emergency Medicine Physician
  • Killeen, TX
  • NPI 1518475557
  Medicare reassignment NPD
• Ezea D. Ede MD

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1760670517
  NPD (past) Authorized official
• G.T. Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Orange, TX
  • NPI 1063462299
  NPD (past)
• Port Arthur Emergency Physicians

  • Emergency Medicine Physician
  • Port Arthur, TX
  • NPI 1255491627
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1861422412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 PEARL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013642",
            "telephone_number": "409-835-8530",
            "fax_number": "409-839-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 PEARL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013643",
            "telephone_number": "409-835-8530",
            "fax_number": "409-839-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDE",
        "first_name": "EZEA",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H9627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128213903",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "OFFICE",
            "affiliation": "N",
            "endpointDescription": "STORAGE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1295 PEARL ST",
            "city": "BEAUMONT",
            "state": "TX",
            "country_code": "US",
            "postal_code": "777013642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angel Ebey
• Chisaroka Wobiareri Echendu, M.D., PH.D.
• Margaret Sue Echols, LPC
• Isabella Grace Edano, PT
• Lucas Acy Edd, LPA, LPC
• Eunice Edeh, DR
• Mberedem Carol Edet
• Educare Comm Living Corp Texas
• Educare Comm Living Corp Texas
• Educare Community Living Corporation - Texas

• Internal Medicine Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.