DR. CHIZITAM IBEZIM MD
NPI 1003470295
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Chicago, IL

Q: What is Chizitam Ibezim's NPI number?

The NPI number for Chizitam Ibezim is 1003470295. It was assigned to this individual provider in the NPPES registry on April 24, 2019.

Q: What is Chizitam Ibezim's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for Chizitam Ibezim was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 24, 2019PECOS EnrolledAccepts Medicare Assignment

1611 W HARRISON ST STE 400, CHICAGO, IL 60612(877) 632-6637(708) 409-5179 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2025, May 6, 2025, Apr 24, 2019 (3 updates tracked since 2019).

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About Dr. Chizitam Ibezim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHIZITAM IBEZIM MD (NPI 1003470295) is an individual adult reconstructive orthopaedic surgery provider in Chicago, Illinois, licensed in Illinois (036174858) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1003470295

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. CHIZITAM IBEZIMCredential: MD

Location Address1611 W HARRISON ST STE 400Chicago, IL 60612-4861

Mailing AddressPo Box 735263Chicago, IL 60673-5263 · (877) 632-6637 · Fax (708) 409-5179

Phone(877) 632-6637

Fax(708) 409-5179

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 24, 2019

Last NPPES UpdateJuly 9, 20253 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1003470295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

Licenses✔ Licensed in IL · 036174858✔ Licensed in IN · 01096132A

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 036174858 (IL), 01096132A (IN)

1611 W HARRISON ST STE 400, Chicago, IL 60612

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Secondary Practice Locations 2

Location 12411 Holmes StKansas City, MO 64108-2741 · Phone (816) 235-1808 ext. 81623

Location 29200 Calumet Ave Ste 300Munster, IN 46321-2885 · Phone (877) 632-6637 · Fax (708) 409-5179

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Chizitam Ibezim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375068646

PECOS Enrollment IDI20250418001308, I20250514000249

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rush University Medical Center

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140119

Location1653 West Congress ParkwayChicago, IL 60612 · Cook County

Emergency services Birthing friendly

Elmhurst Memorial Hospital

Acute Care Hospitals · Elmhurst, IL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number140200

Location155 East Brush Hill RoadElmhurst, IL 60126 · Du Page County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TERAH HENNICK MD

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)