Maryanne Njideka Ejidike, M.B.B.S.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

CDR.0000828 Issued in CO

Practice address

1950 Mountain View Ave
Longmont, CO 80501-3129

Phone

(303) 651-5111

Fax

(303) 678-4050

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, ND, NY, ME, WY5 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 5

Specialty

HospitalistAlso: Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Finley HospitalGroup PAC ID 5092622944, 84 clinicians

Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Summit Hospitalist Group LLCGroup PAC ID 8527445824, 47 clinicians

Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians

Arnot Ogden Medical CenterGroup PAC ID 5395798417, 219 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Essentia Health Hospital, Fargo, ND, CCN 350070
• Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
• Jones Memorial Hospital Hospital, Wellsville, NY, CCN 330096
• Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/
• Direct secure messaging: maryanne.ejidike@direct.genesishealth.com
• Direct secure messaging: mejidike831088@direct.unitypoint.org

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.

• Arnot Ogden Medical Center

  • General Acute Care Hospital
  • Elmira, NY
  • NPI 1083605661

  NY

  Medicare reassignment Care Compare group NPD
• Innovis Health, LLC

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463

  ND

  Medicare reassignment Care Compare group NPD
• Summit Hospitalist Group LLC

  • Hospitalist Physician
  • Cheyenne, WY
  • NPI 1356985600

  Hospitalist, WY

  Medicare reassignment Care Compare group NPD
• The Finley Hospital

  • Emergency Medicine Physician
  • Dubuque, IA
  • NPI 1134176308

  NY

  Medicare reassignment Care Compare group NPD
• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  NY

  Medicare reassignment Care Compare group
• Apogee Medical Group Iowa PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1689856825

  IA, Internal Medicine

  Medicare reassignment NPD
• Campbell County Hospital District

  • Internal Medicine Physician
  • Gillette, WY
  • NPI 1710098868

  Internal Medicine, WY

  Medicare reassignment NPD
• Genesis Health System

  • Surgery Physician
  • Davenport, IA
  • NPI 1528616901

  IA, Internal Medicine

  Medicare reassignment NPD
• Grinnell Regional Medical Center

  • Family Medicine Physician
  • Grinnell, IA
  • NPI 1437663242

  Internal Medicine, NY

  Medicare reassignment NPD
• Nes Medical Services of New England Inc

  • Emergency Medicine Physician
  • Bangor, ME
  • NPI 1396401907

  ME

  Medicare reassignment NPD
• United Medical Associates PC

  • Clinic/Center
  • Binghamton, NY
  • NPI 1013972801

  NY

  Medicare reassignment NPD
• Arnot Ogden Medical Center

  • Community/Retail Pharmacy
  • Elmira, NY
  • NPI 1831875004
  Care Compare group NPD

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

• Arnot Ogden Medical Center

  • General Acute Care Hospital
  • Elmira, NY
  • NPI 1083605661

  Hospital

  Care Compare affiliation
• Innovis Health, LLC

  • General Acute Care Hospital
  • Fargo, ND
  • NPI 1215125463

  Hospital

  Care Compare affiliation
• Memorial Hospital of Laramie County

  • General Acute Care Hospital
  • Cheyenne, WY
  • NPI 1285621839

  Hospital

  Care Compare affiliation
• The Memorial Hospital of William F. and Gertrude F. Jones, Inc.

  • General Acute Care Hospital
  • Wellsville, NY
  • NPI 1720030703

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1992124143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 MOUNTAIN VIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013129",
            "telephone_number": "303-651-5111",
            "fax_number": "303-651-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MOUNTAIN VIEW AVE",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013129",
            "telephone_number": "303-651-5111",
            "fax_number": "303-678-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 32nd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581036132",
            "country_code": "US",
            "telephone_number": "701-364-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Hamilton Ave., Rm B-158 St. Francis Medical Center",
            "address_2": "Office of Gradual Medical Education",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086291915",
            "country_code": "US",
            "telephone_number": "609-589-5061",
            "fax_number": "609-599-6232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EJIDIKE",
        "first_name": "MARYANNE",
        "middle_name": "NJIDEKA",
        "name_prefix": "Dr.",
        "credential": "M.B.B.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "CDR.0000828",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-42378",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "ND",
            "license": "17062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Longmont, CO
• Hospitalist Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.