Chidubem Galen Ezenna, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

10476 Issued in NE

Practice address

S 42ND & Emile St
Omaha, NE 68198-2265

Phone

(402) 559-8888

NPI assigned

Jul 3, 2023

Last updated

Jun 15, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1962189886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S 42ND & EMILE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681982265",
            "telephone_number": "402-559-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S 42ND & EMILE ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681982265",
            "telephone_number": "402-559-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZENNA",
        "first_name": "CHIDUBEM",
        "middle_name": "GALEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-03",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NE",
            "license": "10476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Michelle Eyer
• Eyewear Innovations Inc.
• Allyson M Eymann, APRN
• Erin Elizabeth Ezell
• Jabari Ezell
• Avelin Ezirim
• Donna Lynne Faber, MD
• Jennifer Lee Faber, MA, LIMHP, PC
• Emily Fabian, PA-C
• Gary Fabisiak

• Cardiovascular Disease Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Cardiovascular Disease Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.

Verify at the official NPI Registry.