Active NPI
Jennifer Ezirike Ladipo, M.D
- Pediatric Gastroenterology Physician
- Cypress, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- S6834
- Practice address
- 27700 Northwest Fwy Ste 355
Cypress, TX 77433-7749 - Phone
- (812) 456-4575
- Fax
- (812) 940-2665
- NPI assigned
- Apr 4, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | C1-0012984 | DE | |
| Pediatrics Physician | 208000000X | D81212 | MD | |
| Pediatric Gastroenterology Physician | 2080P0206X | 0101270705 | VA | |
| Pediatric Gastroenterology Physician | 2080P0206X | S6834 | TX | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
27700 Northwest Fwy Ste 355
Cypress, TX 77433-7749
Mailing address
3023 Hamaker CT Ste 600
Fairfax, VA 22031-2241
Phone (703) 876-2788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230516000935 | DC | Practitioner - Pediatric Medicine | 7719285964 | Reassigns benefits to 2 organizations |
| I20230517003180 | VA | Practitioner - Pediatric Medicine | 7719285964 | Reassigns benefits to 2 organizations |
| I20241001003509 | TX | Practitioner - Pediatric Medicine | 7719285964 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Pediatric Specialists of Virginia, LLC | Pediatrics | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Kids Gi Kare PLLC | Pediatric Gastroenterology | Current | Accepting new patients |
| Inova Health Care Services | Pediatrics | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients |
Locations
27700 NW Freeway
Ste 355
Cypress, TX 77433
Phone (281) 456-4575
22505 Landmark Ct
Ste 225
Ashburn, VA 20148
Phone (703) 726-1616
3023 Hamaker Ct
Ste 600
Fairfax, VA 22031
Phone (703) 839-8733
3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
14904 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 492-6660
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJGGBD
- jezirikeladipo750662@soc.inova.org
Organizations & group practices 6
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.
-
- Pediatric Gastroenterology Physician
- Cypress, TX
- NPI 1447768759
Pediatric Gastroenterology, TX
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Pediatrics, VA
-
- Pediatrics Physician
- Fairfax, VA
- NPI 1699119818
DC, Pediatrics, VA
-
- Substance Abuse Rehabilitation Facility
- Falls Church, VA
- NPI 1588717755
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1912240201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3023 HAMAKER CT STE 600",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312241",
"telephone_number": "703-876-2788",
"fax_number": "703-839-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27700 NORTHWEST FWY STE 355",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774337749",
"telephone_number": "812-456-4575",
"fax_number": "812-940-2665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZIRIKE LADIPO",
"first_name": "JENNIFER",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-04",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "DE",
"license": "C1-0012984",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D81212",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "VA",
"license": "0101270705",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "TX",
"license": "S6834",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.