Chinenye Ezike, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

5901002620 Issued in MI

Practice address

1717 Harper Rd Ste C
Beckley, WV 25801-3373

Phone

(044) 613-9143

Fax

(304) 254-3152

NPI assigned

Jun 15, 2016

Last updated

May 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh General Hospital LLCGroup PAC ID 6103735154, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Raleigh General Hospital Hospital, Beckley, WV, CCN 510070
• Beckley Arh Hospital Hospital, Beckley, WV, CCN 510062

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chinenye.ezike.1@20211.direct.athenahealth.com
• Direct secure messaging: echinenye511035@direct.hfhs.org

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.

• Raleigh General Hospital LLC

  dba Advanced Urology

  • Internal Medicine Physician
  • Beckley, WV
  • NPI 1114475746
  Medicare reassignment Care Compare group NPD
• Raleigh General Hospital LLC

  dba Gastroenterology of Southern WV

  • Gastroenterology Physician
  • Beckley, WV
  • NPI 1619307402
  NPD
• Raleigh General Hospital

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1285681023
  NPD (past)
• Raleigh General Hospital LLC

  • Hospitalist Physician
  • Beckley, WV
  • NPI 1417457250
  NPD (past)
• Raleigh General Hospital LLC

  dba Total Foot and Ankle of Beckley

  • Foot & Ankle Surgery Podiatrist
  • Beckley, WV
  • NPI 1528441011
  NPD (past)
• Henry Ford Health St. John Hospital

  dba St John Hospital and Medical Center

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  NPD (past)

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

• Appalachian Regional Healthcare, Inc

  dba ARH Southern West Virginia Clinic

  • Family Medicine Physician
  • Beckley, WV
  • NPI 1477510162

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc

  dba Beckley ARH Hospital

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1568461440
  Care Compare affiliation
• Raleigh General Hospital LLC

  dba Raleigh General Hospital

  • General Acute Care Hospital
  • Beckley, WV
  • NPI 1629015698
  Care Compare affiliation

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651622400000",
    "number": "1992155576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000",
            "fax_number": "615-920-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 HARPER RD STE C",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013373",
            "telephone_number": "044-613-9143",
            "fax_number": "304-254-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZIKE",
        "first_name": "CHINENYE",
        "name_prefix": "Miss",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyecandy of West Virginia LLC
• Eyemart Express LLC
• Eyemart Express LTD
• Eyewear Express (Eyecare One)
• Eyewear Express LTD., Inc (Eyecare One)
• Ahmed Daver Faheem, MD
• Brianne Fairchild
• Faith's Haven
• George Fama
• Family Medical Imaging, LLC

• Foot & Ankle Surgery Podiatrist in Beckley, WV
• Providers in Beckley, WV by specialty
• Foot & Ankle Surgery Podiatrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.