Individual provider Active NPI

Jennifer Ezirike Ladipo, M.D

  • Pediatric Gastroenterology Physician
  • Cypress, TX
National Provider Identifier
1912240201
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
S6834 Issued in TX
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

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
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 MedicinePractitioner - Gastroenterology 7719285964 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Feb 7, 2023 Accepting new patients
Pediatric Specialists of Virginia, LLC Pediatrics CurrentSince Feb 7, 2023 Accepting new patients
Inova Health Care Services CurrentSince Feb 7, 2023 Accepting new patients
Kids Gi Kare PLLC Pediatric Gastroenterology CurrentSince Sep 9, 2024 Accepting new patients
Inova Health Care Services Pediatrics Current Accepting new patients
Inova Health Care Services CurrentSince Feb 7, 2023 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJGGBD
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.