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

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080N0001X and a focus in Neonatal-Perinatal Medicine.

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: July 19, 2026.

On this page

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.

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

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

Open in Google Maps ↗

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).

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.