CALLISTA CHIKA EJIM NP
NPI 1063802072
Nurse Practitioner - Family in Dallas, TX
About Callista Chika Ejim Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALLISTA CHIKA EJIM NP (NPI 1063802072) is an individual family provider in Dallas, Texas, licensed in Texas (AP127336) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Callista Chika Ejim Np 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.
Medicare Billing Reassignments
3Medicare enrollment records show Callista Ejim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dallas, TX 75203
- Reassigned Medicare billing, Texas enrollment
- 562 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 284 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 1,639 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
DALLAS, TX 75203
DALLAS, TX 75203
DALLAS, TX 75203
DALLAS, TX 75203
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 Callista Ejim's NPI number?
The NPI number for Callista Ejim is 1063802072. It was assigned to this individual provider in the NPPES registry on January 28, 2015.
Where is Callista Ejim located?
Callista Ejim practices at 1441 N Beckley Ave, Dallas, TX 75203. The listed phone number is (972) 597-4498.
What is Callista Ejim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Callista Ejim enrolled in Medicare?
Yes. Callista Ejim 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 organizations bill Medicare for Callista Ejim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Callista Ejim reassigns Medicare benefits to 3 organizations: Medhealth (Dallas, TX), Texas Health Virtual Care (Dallas, TX) and Texas Health Physicians Group (Dallas, TX). Each 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 Callista Ejim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Callista Ejim accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Callista Ejim 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.
When was this NPI record last updated?
The NPPES record for Callista Ejim was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Callista Chika Ejim, NP · NPI 1063802072
Family physician in Dallas, Texas. Individual provider, active in the CMS NPPES registry since January 28, 2015.
## Identity
- **NPI:** 1063802072 (Entity type: Individual)
- **Enumerated:** January 28, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP127336 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1441 N BECKLEY AVE, Dallas, TX 75203-1201
- **Phone:** (972) 597-4498
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Medhealth (NPI 1912957200, Dallas, TX); Texas Health Virtual Care (NPI 1942951199, Dallas, TX); Texas Health Physicians Group (NPI 1053767897, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063802072) · Data from the CMS NPPES public registry.