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DR. KANAYO AFAMEFINA EZEANOLUE MD
NPI 1215053582
Pediatrics - Neonatal-Perinatal Medicine in Las Vegas, NV

Active since March 21, 2007PECOS Enrolled
1800 W. CHARLESTON BLVD., LAS VEGAS, NV 89102(702) 383-2000(313) 745-5867 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kanayo Afamefina Ezeanolue Md NPPES

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

DR. KANAYO AFAMEFINA EZEANOLUE MD (NPI 1215053582) is an individual neonatal-perinatal medicine provider in Las Vegas, Nevada, licensed in Nevada (14287) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1215053582
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. KANAYO AFAMEFINA EZEANOLUECredential: MD
Location Address1800 W. CHARLESTON BLVD.Las Vegas, NV 89102
Mailing Address1800 W. Charleston Blvd. Ste. 508Las Vegas, NV 89102 · (702) 383-2688 · Fax (702) 671-6595
Phone(702) 383-2000
Fax(313) 745-5867
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMarch 21, 2007
Last NPPES UpdateSeptember 7, 2018
✔ NPI 1215053582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NV · 14287
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 4301093717 (MI)
1800 W. CHARLESTON BLVD., Las Vegas, NV 89102
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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 (PECOS)

Dr. Kanayo Afamefina Ezeanolue Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931232253
PECOS Enrollment IDI20260505003008
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.

DR. NOAH BENJAMIN KOHN MD
Pediatrics
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000
GENGHIS PORTILLO M.D.
Anesthesiology
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000
RYAN LACEY
Internal Medicine
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000
DR. BRANDON TIMOTHY SNOOK MD
Surgery
1800 W. CHARLESTON BLVD., UNIVERSITY MEDICAL CENTER OF LAS VEGAS
LAS VEGAS, NV 89102
Clark County (702) 671-2201
DR. AKEEM ANTHONY GEORGE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000
DR. CHRISTOPHER PAUL MURRAY MD
Pediatrics
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000
LYNNE M ELLISON DO
Pediatrics
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000
MR. RYAN SUA MSN, CRNA
Nurse Anesthetist, Certified Registered
1800 W. CHARLESTON BLVD.
LAS VEGAS, NV 89102
Clark County (702) 383-2000

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 Kanayo Ezeanolue's NPI number?

The NPI number for Kanayo Ezeanolue is 1215053582. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Kanayo Ezeanolue located?

Kanayo Ezeanolue practices at 1800 W. Charleston Blvd., Las Vegas, NV 89102. The listed phone number is (702) 383-2000.

What is Kanayo Ezeanolue's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kanayo Ezeanolue enrolled in Medicare?

Yes. Kanayo Ezeanolue is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kanayo Ezeanolue was last updated on September 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.