IJEOMA NNENNA KALU MD
NPI 1164163697
Internal Medicine in Phoenix, AZ

Q: What is Ijeoma Kalu's NPI number?

The NPI number for Ijeoma Kalu is 1164163697. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Ijeoma Kalu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Ijeoma Kalu was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 06, 2022PECOS EnrolledAccepts Medicare Assignment

1300 N 12TH ST STE 508, PHOENIX, AZ 85006(602) 839-3927(602) 839-4233 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, Apr 6, 2022 (2 updates tracked since 2022).

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About Ijeoma Nnenna Kalu Md NPPES

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

IJEOMA NNENNA KALU MD (NPI 1164163697) is an individual internal medicine provider in Phoenix, Arizona, licensed in Arizona (76011) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1164163697

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameIJEOMA NNENNA KALUCredential: MD

Location Address1300 N 12TH ST STE 508Phoenix, AZ 85006-2849

Mailing Address5555 W Thunderbird RdGlendale, AZ 85306-4622 · (602) 865-5555 · Fax (602) 839-4233

Phone(602) 839-3927

Fax(602) 839-4233

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 6, 2022

Last NPPES UpdateMay 27, 20252 updates tracked since enumeration

NPPES CertifiedMay 27, 2025

✔ NPI 1164163697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in AZ · 76011

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1300 N 12TH ST STE 508, Phoenix, AZ 85006

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ijeoma Nnenna Kalu 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 ID8224561824

PECOS Enrollment IDI20250822002447

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85006 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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.

TREVIN REYES MD

Student in an Organized Health Care Education/Training Program