Moses C Ejiofor Sr., M.D.

Primary specialty

Nephrology Specialist/TechnologistTaxonomy code 246ZN0300X

License

E1071 Issued in AR

Practice address

1515 Kanis Park Dr
Suite B
Little Rock, AR 72205-4569

Phone

(501) 603-9277

Fax

(501) 603-9877

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Jacksonville Central Dialysis Center Dialysis facility, Jacksonville, AR, CCN 042553
• DaVita Springhill Dialysis Dialysis facility, North Little Rock, AR, CCN 042513
• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
• CHI-St Vincent Infirmary Hospital, Little Rock, AR, CCN 040007
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• St Marys Regional Medical Center Hospital, Russellville, AR, CCN 040041
• Baptist Health Medical Center-Stuttgart Hospital, Stuttgart, AR, CCN 040072
• CHI St Vincent Sherwood Rehabilitation Hospital Inpatient rehabilitation facility, Sherwood, AR, CCN 043031

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

93.75

Promoting interoperability

100

Improvement activities

40

Cost

81.3

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sma Medicine & Nephrology Clinic LLC

  • Clinic/Center
  • Little Rock, AR
  • NPI 1437209491
  Medicare reassignment NPD Authorized official
• Westside Dialysis Unit LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Little Rock, AR
  • NPI 1619274735
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Little Rock Dialysis Centers LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jacksonville, AR
  • NPI 1982822631

  Dialysis facility

  Care Compare affiliation Name & address match
• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• Baptist Health

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation
• Central Arkansas Rehabilitation Associates, L.P.

  • Rehabilitation Hospital
  • Sherwood, AR
  • NPI 1538133475

  Inpatient rehabilitation facility

  Care Compare affiliation
• Russellville Holdings LLC

  • General Acute Care Hospital
  • Russellville, AR
  • NPI 1033160049
  Care Compare affiliation
• St Vincent Infirmary Medical Center

  • Psychiatric Hospital Unit
  • Little Rock, AR
  • NPI 1710442801
  Care Compare affiliation
• St Vincent Infirmary Medical Center

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1780684431
  Care Compare affiliation

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1942277843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 KANIS PARK DR",
            "address_2": "SUITE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054569",
            "telephone_number": "501-603-9277",
            "fax_number": "501-603-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 KANIS PARK DR",
            "address_2": "SUITE B",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054569",
            "telephone_number": "501-603-9277",
            "fax_number": "501-603-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EJIOFOR",
        "first_name": "MOSES",
        "middle_name": "C",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZN0300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Nephrology",
            "state": "AR",
            "license": "E1071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131530001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Eisenberg, MD
• Gail L. Eisenhauer, M.D.
• Christian M Eisenring, NP
• Alexander Eisenstein
• Kristin Eisentraut
• Michael Ekdahl, LPE-I
• Rachel C Ekdahl, MD
• Chukwuma Ekeh
• Heba El Ayash, MD
• Nadir R El Sharawi, MD

• Other Specialist/Technologist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Other Specialist/Technologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.
• 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.