DR. CHIDERA EZENEKWE MD
NPI 1124715875
Student in an Organized Health Care Education/Training Program in Cincinnati, OH
About Dr. Chidera Ezenekwe Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHIDERA EZENEKWE MD (NPI 1124715875) is an individual student in an organized health care education/training program in Cincinnati, Ohio and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Chicago.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Chidera Ezenekwe 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.
Medicare Billing Reassignment
Medicare enrollment records show Chidera Ezenekwe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwestern Memorial Hospital
Acute Care Hospitals · Chicago, ILUniversity Of Cincinnati Medical Center, LLC
Acute Care Hospitals · Cincinnati, OHOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CINCINNATI, OH 45219
CINCINNATI, OH 45219
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 Chidera Ezenekwe's NPI number?
The NPI number for Chidera Ezenekwe is 1124715875. It was assigned to this individual provider in the NPPES registry on April 21, 2023.
Where is Chidera Ezenekwe located?
Chidera Ezenekwe practices at 3188 Bellevue Ave, Cincinnati, OH 45219. The listed phone number is (513) 584-4505.
What is Chidera Ezenekwe's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Chidera Ezenekwe enrolled in Medicare?
Yes. Chidera Ezenekwe 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 Chidera Ezenekwe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Chidera Ezenekwe reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, IL). 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 Chidera Ezenekwe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Chidera Ezenekwe affiliated with any hospitals?
According to CMS data, Chidera Ezenekwe is affiliated with Northwestern Memorial Hospital and University Of Cincinnati Medical Center, LLC.
When was this NPI record last updated?
The NPPES record for Chidera Ezenekwe was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Chidera Ezenekwe, MD · NPI 1124715875
Student in an Organized Health Care Education/Training Program provider in Cincinnati, Ohio. Individual provider, active in the CMS NPPES registry since April 21, 2023.
## Identity
- **NPI:** 1124715875 (Entity type: Individual)
- **Enumerated:** April 21, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3188 BELLEVUE AVE, Cincinnati, OH 45219-2369
- **Phone:** (513) 584-4505 · **Fax:** (513) 584-0468
## 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:** Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2023
## Record status
- **NPPES last updated:** July 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124715875) · Data from the CMS NPPES public registry.