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

Q: 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.

Q: 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.

Q: 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 2 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.

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: August 30, 2026.

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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

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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.

RHEA RUBIN M.D.

Internal Medicine (Critical Care Medicine)