Active NPI
Ezechiel R. Nehus, MD
- Otolaryngology/Facial Plastic Surgery Physician
- Russellville, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- E4337
- Practice address
- 200 N Quanah Ave
Russellville, AR 72801-2762 - Phone
- (479) 890-0368
- Fax
- (479) 890-7368
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | E4337 | AR | Primary |
Addresses
Primary practice location
200 N Quanah Ave
Russellville, AR 72801-2762
Mailing address
200 N Quanah Ave
Russellville, AR 72801-2762
Phone (479) 890-0368
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5N221 | Other | AR | ARKANSAS BCBS |
| 156412001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Arkansas College of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1808 W Main
Russellville, AR 72801-2724
Phone (479) 890-0368
Hospital & facility affiliations
- Johnson Regional Medical Center
- St Marys Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4337 | AR | MD | Otolaryngology/Facial Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ezechiel R. Nehus, MD, PA | Otolaryngology/Facial Plastic Surgery | Current | Accepting new patients |
Locations
1808 W Main St
Russellville, AR 72801
Phone (479) 964-4178
200 N Quanah Ave
Russellville, AR 72801
Phone (479) 890-0368
Interoperability endpoints
- enehus@rvent.gwaydirect.com
- enehusmd@rvent.gwaydirect.com
Organizations & group practices 1
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.
-
- Otolaryngology/Facial Plastic Surgery Physician
- Russellville, AR
- NPI 1871569269
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clarksville, AR
- NPI 1134116049
-
- General Acute Care Hospital
- Russellville, AR
- NPI 1033160049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1912973306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N QUANAH AVE",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012762",
"telephone_number": "479-890-0368",
"fax_number": "479-890-7368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N QUANAH AVE",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012762",
"telephone_number": "479-890-0368",
"fax_number": "479-890-7368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEHUS",
"first_name": "EZECHIEL",
"middle_name": "R.",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "AR",
"license": "E4337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS BCBS",
"identifier": "5N221",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156412001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.
- 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.