Organization Active NPI

Elias Ezike, MD, P.a

  • Pediatric Infectious Diseases Physician
  • Beaumont, TX
National Provider Identifier
1912233115
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
M4774 Issued in TX
Legal business name
ELIAS EZIKE, MD, P.A
Practice address
87 Interstate 10 N. Suite 221
Beaumont, TX 77707-2562
Phone
(409) 838-9944
Fax
(409) 838-9086
NPI assigned
Oct 22, 2009
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Dr. Elias Nnamdi Ezike, M.DNPI 1811902307
Title
President
Phone
(409) 838-9944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0208X M4774 TX Primary

Addresses

Primary practice location

87 Interstate 10 N. Suite 221
Beaumont, TX 77707-2562

Mailing address

87 Interstate 10 N. Suite 221
Beaumont, TX 77707-2562
Phone (409) 838-9944

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2114527Elias Ezike, MD, PA87 Interstate 10 N Suite 221, Beaumont, TX 77707Certificate of waiverJun 15, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1912233115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 INTERSTATE 10 N. SUITE 221",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072562",
            "telephone_number": "409-838-9944",
            "fax_number": "409-838-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 INTERSTATE 10 N. SUITE 221",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072562",
            "telephone_number": "409-838-9944",
            "fax_number": "409-838-9086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIAS EZIKE, MD, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "EZIKE",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "NNAMDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "409-838-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "TX",
            "license": "M4774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.