Individual provider Active NPI

Daniel Emeka Ezekwudo, M.D

  • Medical Oncology Physician
  • Port Charlotte, FL
National Provider Identifier
1942649769
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
ME176076 Issued in FL
Practice address
22395 Edgewater Dr
Port Charlotte, FL 33980-2012
Phone
(941) 766-7222
Fax
(941) 766-0970
NPI assigned
Jun 15, 2013
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X ME176076 FL
Medical Oncology Physician 207RX0202X ME176076 FL Primary

Addresses

Primary practice location

22395 Edgewater Dr
Port Charlotte, FL 33980-2012

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

1390 Grand Venture Dr
North Port, FL 34286-2309
Phone (941) 257-2280

Other identifiers 2

IdentifierTypeStateIssuer
1942649769MedicaidMI
127968400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, LA, AZ, FL4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20171129002335 MI Practitioner - Internal MedicinePractitioner - Hematology/Oncology 9931466935 Reassigns benefits to 4 organizations
I20190828003078 LA Practitioner - Hematology/Oncology 9931466935 Reassigns benefits to 1 organization
I20241126003506 AZ Practitioner - Medical Oncology 9931466935 Reassigns benefits to 1 organization
I20250812000742 FL Practitioner - Medical OncologyPractitioner - Hematology 9931466935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Healthcare AssociationGroup PAC ID 3779568647, 78 clinicians

Practice addresses (Care Compare)

22395 Edgewater Dr
Florida Cancer Specialists P L
Port Charlotte, FL 33980-2012
Phone (941) 766-7222

2500 E Hunt Dr
Suite H
Show Low, AZ 85901-7954
Phone (928) 537-6937

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Internal Medicine CurrentSince Jul 29, 2019 Accepting new patients
Summit Healthcare Association CurrentSince Jan 13, 2025 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Family Medicine CurrentSince Oct 7, 2017 Accepting new patients
Summit Healthcare Association Hematology & Oncology CurrentSince Jan 13, 2025 Accepting new patients
Promedica Monroe Physicians Family Medicine CurrentSince Nov 1, 2018 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Aug 7, 2025 Accepting new patients
Michigan Healthcare Professionals PC Family Medicine CurrentSince Dec 6, 2022 Accepting new patients
Oncology Hematology Associates of Saginaw Valley PC Hematology & Oncology CurrentSince Jan 1, 2024 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC Family Medicine CurrentSince Oct 7, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 29, 2019 Accepting new patients
Mymichigan Medical Center Saginaw Family Medicine Current Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Nov 1, 2022 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Hematology CurrentSince Aug 7, 2025 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Dec 6, 2022 Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

2500 E Hunt Dr
Ste H
Show Low, AZ 85901
Phone (520) 537-0200

2500 E Hunt Dr
Ste Hj
Show Low, AZ 85901
Phone (928) 537-6937

1390 Grand Venture Dr
North Port, FL 34286
Phone (941) 257-2280

22395 Edgewater Dr
Fl Cancer
Port Charlotte, FL 33980
Phone (941) 766-7222

22395 Edgewater Dr
Pt Charlotte, FL 33980
Phone (941) 766-7222

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

2050 E Caro Rd
Caro, MI 48723
Phone (989) 672-5001

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

3175 Smith Rd
Lambertville, MI 48144
Phone (734) 856-5494

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

3577 W 13 Mile Rd
Ste 202
Royal Oak, MI 48073
Phone (248) 551-0268

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

4599 Towne Centre Rd
Fl 2
Saginaw, MI 48604
Phone (989) 497-3226

5400 Mackinaw Rd
Ste 4200
Saginaw, MI 48604
Phone (989) 791-2330

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

1 Seagate
Ste 800
Toledo, OH 43604

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: danielezekwudo@shrmcshma.allscriptsdirect.net

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1371254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1942649769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22395 EDGEWATER DR",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802012",
            "telephone_number": "941-766-7222",
            "fax_number": "941-766-0970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1390 Grand Venture Dr",
            "address_purpose": "LOCATION",
            "city": "North Port",
            "state": "FL",
            "postal_code": "342862309",
            "country_code": "US",
            "telephone_number": "941-257-2280",
            "fax_number": "941-423-8946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EZEKWUDO",
        "first_name": "DANIEL",
        "middle_name": "EMEKA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-15",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "FL",
            "license": "ME176076",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "FL",
            "license": "ME176076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942649769",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127968400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.