JAMES CHIKE EZI-ASHI MD
NPI 1063473569
Internal Medicine - Gastroenterology in Cookeville, TN

Q: What is James Ezi-ashi's NPI number?

The NPI number for James Ezi-ashi is 1063473569. It was assigned to this individual provider in the NPPES registry on April 1, 2006.

Q: What is James Ezi-ashi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for James Ezi-ashi was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 01, 2006PECOS EnrolledAccepts Medicare Assignment

53.03/100

CMS Quality Rating

438 N WHITNEY AVE, COOKEVILLE, TN 38501(931) 783-2616(931) 783-2610 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 26, 2022, Oct 1, 2018 (2 updates tracked since 2018).

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About James Chike Ezi-ashi Md NPPES

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

JAMES CHIKE EZI-ASHI MD (NPI 1063473569) is an individual gastroenterology provider in Cookeville, Tennessee, licensed in Tennessee (58011) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Cumberland Medical Center, and maintains a secondary practice location in Hermitage.

NPPES Registry Identity

NPI1063473569

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameJAMES CHIKE EZI-ASHICredential: MD

Location Address438 N WHITNEY AVECookeville, TN 38501

Mailing Address140 W 7th StCookeville, TN 38501-1726 · (931) 783-5582 · Fax (931) 526-6760

Phone(931) 783-2616

Fax(931) 783-2610

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateApril 1, 2006

Last NPPES UpdateMay 26, 20222 updates tracked since enumeration

NPPES CertifiedMay 26, 2022

✔ NPI 1063473569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in TN · 58011✔ Licensed in PA · MD417825

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License MD417825 (PA)

438 N WHITNEY AVE, Cookeville, TN 38501

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Secondary Practice Location 1

Location 12501 Shenango Valley Fwy Ste 3Hermitage, PA 16148-2536 · Phone (724) 983-0223 · Fax (724) 983-1317

Other Identifiers 8

Other000000209404OH · Anthem

Other3607952-001PA · Cigna

Other1343115PA · Highmark Bc Bs

Other200554PA · Health America

Medicaid0018864890001PA

OtherP00079682PA · Railroad Medicare

Other0007022421PA · Aetna

Medicaid2413990OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Chike Ezi-ashi 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 ID446225320

PECOS Enrollment IDI20181226001846

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.

Medicare Billing Reassignment

Medicare enrollment records show James Ezi-ashi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cookeville Regional Medical Group, Inc

0.2 mi

Multi-Specialty

140 W 7TH ST
Cookeville, TN 38501

Reassigned Medicare billing, Tennessee enrollment
124 clinicians in this Medicare group

NPI 1649202102 (931) 783-5582

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

194 services185 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

186 services139 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

140 services138 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

93 services70 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

74 services74 patients

Dilation of esophagus 43450

Dilation of the esophagus is a procedure aimed to stretch or open up your esophagus (the tube connecting your mouth to your stomach) when it's narrow. It helps to improve swallowing and alleviate discomfort. It's typically performed using a flexible tube or balloon, under sedation.

56 services56 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

56 services55 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

43 services42 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

30 services30 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

28 services25 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

26 services26 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

22 services22 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

20 services20 patients

Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43247

This procedure involves using a flexible instrument, called an endoscope, to remove foreign objects lodged in the esophagus, stomach, or upper small bowel. The endoscope is gently inserted through the mouth to reach the affected area and safely extract the foreign body.

14 services12 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cumberland Medical Center

Acute Care Hospitals · Crossville, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440009

Location421 S Main StCrossville, TN 38555 · Cumberland County

Emergency services Birthing friendly

Cookeville Regional Medical Center

Acute Care Hospitals · Cookeville, TN

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number440059

Location1 Medical Center BoulevardCookeville, TN 38501 · Putnam County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38501 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

53.03/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

79.58

Promoting Interoperability

Improvement Activities

Cost

47.19

Reported Quality Measures

Advance Care Plan

7%624 patients1/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

61%101 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

77%658 patients4/55-star benchmark: 88%

Controlling High Blood Pressure

74%148 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

65%115 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

79%1,932 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

2%495 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

21%1,079 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

32%1,368 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 33% · 707 patients

Patients screened: 40% · 707 patients

25%64 patients2/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

79%207 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 514 patients

Patients totalRate: 3% · 517 patients

2%517 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

EMMA LEIGH SULLIVAN NP

Nurse Practitioner

438 N WHITNEY AVE
COOKEVILLE, TN 38501

Putnam County (931) 783-2616

MAGGIE ELIZABETH HENSLEY NP

Nurse Practitioner

438 N WHITNEY AVE
COOKEVILLE, TN 38501

Putnam County (931) 783-2616

JOYCE F BREMER M.D.

Internal Medicine (Gastroenterology)

438 N WHITNEY AVE
COOKEVILLE, TN 38501

Putnam County (931) 783-2616

DONNA J WINNINGHAM APN

Clinical Nurse Specialist (Family Health)

438 N WHITNEY AVE, SUITE 2
COOKEVILLE, TN 38501

Putnam County (931) 528-2557

PHILLIP D BERTRAM MD

Internal Medicine (Gastroenterology)

438 N WHITNEY AVE
COOKEVILLE, TN 38501

Putnam County (931) 783-2616

VENKATA S TAMMANA M.D.

Internal Medicine (Gastroenterology)

438 N WHITNEY AVE
COOKEVILLE, TN 38501

Putnam County (931) 783-2616

MS. JULIE A SMITH APRN, BC

Nurse Practitioner (Acute Care)

438 N WHITNEY AVE
COOKEVILLE, TN 38501

Putnam County (931) 783-2616

DEBORAH G HENSLEY A.P.N.

Nurse Practitioner

438 N WHITNEY AVE
COOKEVILLE, TN 38501

Putnam County (931) 783-2616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Ezi-ashi's NPI number?

The NPI number for James Ezi-ashi is 1063473569. It was assigned to this individual provider in the NPPES registry on April 1, 2006.

Where is James Ezi-ashi located?

James Ezi-ashi practices at 438 N Whitney Ave, Cookeville, TN 38501. The listed phone number is (931) 783-2616.

What is James Ezi-ashi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is James Ezi-ashi enrolled in Medicare?

Yes. James Ezi-ashi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for James Ezi-ashi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Ezi-ashi reassigns Medicare benefits to Cookeville Regional Medical Group, Inc (Cookeville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Ezi-ashi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Ezi-ashi accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 4 other insurers list James Ezi-ashi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Ezi-ashi affiliated with any hospitals?

According to CMS data, James Ezi-ashi is affiliated with Cumberland Medical Center and Cookeville Regional Medical Center.

When was this NPI record last updated?

The NPPES record for James Ezi-ashi was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.