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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. CHIDERA EZENEKWE MD
NPI 1124715875
Student in an Organized Health Care Education/Training Program in Cincinnati, OH

Active since April 21, 2023PECOS Enrolled
3188 BELLEVUE AVE, CINCINNATI, OH 45219(513) 584-4505(513) 584-0468 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1124715875
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. CHIDERA EZENEKWECredential: MD
Location Address3188 BELLEVUE AVECincinnati, OH 45219-2369
Mailing Address3188 Bellevue AveCincinnati, OH 45219-2369 · (513) 584-4505 · Fax (513) 584-0468
Phone(513) 584-4505
Fax(513) 584-0468
Sole ProprietorNo
Enumeration DateApril 21, 2023
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1124715875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedHospitalistTaxonomy 208M00000X · License 036180377 (IL)
3188 BELLEVUE AVE, Cincinnati, OH 45219
Open in Google Maps ↗

Secondary Practice Location 1

Location 1251 E Huron St Ste 16-738Chicago, IL 60611-3055 · Phone (312) 926-5924 · Fax (312) 926-6134

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Chidera Ezenekwe Md 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.

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.

EDITA TOTAJ OT
Physician Assistant
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 558-4831
RACHEL JUG
Pathology (Anatomic Pathology & Clinical Pathology)
3188 BELLEVUE AVE, PATHOLOGY
CINCINNATI, OH 45219
Hamilton County (513) 584-7284
DR. LEEYA F PINDER MD
Obstetrics & Gynecology (Gynecologic Oncology)
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-6373
KYLE TAYLOR
Nurse Anesthetist, Certified Registered
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-1000
DR. ANNA LYND MASON PT, DPT, CDP
Physical Therapist
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-4992
RHEA RUBIN M.D.
Internal Medicine (Critical Care Medicine)
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 558-4831
AMY HUTCHISON CRNA
Nurse Anesthetist, Certified Registered
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 558-4194
AUSTIN THOMPSON
Student in an Organized Health Care Education/Training Program
3188 BELLEVUE AVE
CINCINNATI, OH 45219
Hamilton County (513) 584-4505

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Chidera Ezenekwe was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.