MICHEAL EZEANA
NPI 1043911043
Emergency Medicine in Chicago, IL

Q: What is Micheal Ezeana's NPI number?

The NPI number for Micheal Ezeana is 1043911043. It was assigned to this individual provider in the NPPES registry on March 15, 2023.

Q: What is Micheal Ezeana's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Micheal Ezeana was last updated on September 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 15, 2023PECOS Enrolled

5841 S MARYLAND AVE # MC1052, CHICAGO, IL 60637(773) 702-6760 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2024, Apr 9, 2024, Mar 15, 2023 (3 updates tracked since 2023).

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About Micheal Ezeana NPPES

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

MICHEAL EZEANA (NPI 1043911043) is an individual emergency medicine provider in Chicago, Illinois, licensed in Illinois (125.083611) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043911043

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameMICHEAL EZEANA

Location Address5841 S MARYLAND AVE # MC1052Chicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(773) 702-6760

Sole ProprietorNo

Enumeration DateMarch 15, 2023

Last NPPES UpdateSeptember 10, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2024

✔ NPI 1043911043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in IL · 125.083611

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

5841 S MARYLAND AVE # MC1052, Chicago, IL 60637

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Micheal Ezeana is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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. DERRIUS J. ANDERSON MD

Surgery