NKIRUKA C EZENWA M.D
NPI 1225340649
Pediatrics - Adolescent Medicine in Cordova, TN
About Nkiruka C Ezenwa M.d NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NKIRUKA C EZENWA M.D (NPI 1225340649) is an individual adolescent medicine provider in Cordova, Tennessee, licensed in Tennessee (50713) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Memphis.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nkiruka C Ezenwa M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Nkiruka Ezenwa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cordova, TN 38016
- Reassigned Medicare billing, Tennessee enrollment
- Medicare enrollment name: Sanitas Medical Center Of Tennessee PC
- 42 clinicians in this Medicare group
Memphis, TN 38103
- Reassigned Medicare billing, Tennessee enrollment
- 582 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CORDOVA, TN 38016
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 Nkiruka Ezenwa's NPI number?
The NPI number for Nkiruka Ezenwa is 1225340649. It was assigned to this individual provider in the NPPES registry on July 14, 2010.
Where is Nkiruka Ezenwa located?
Nkiruka Ezenwa practices at 2382 N Germantown Pkwy Ste 101, Cordova, TN 38016. The listed phone number is (866) 378-5362.
What is Nkiruka Ezenwa's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.
Is Nkiruka Ezenwa enrolled in Medicare?
Yes. Nkiruka Ezenwa is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nkiruka Ezenwa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nkiruka Ezenwa reassigns Medicare benefits to 2 organizations: Meharry Health Network, PC (Cordova, TN) and Ut Lebonheur Pediatric Specialists, Inc. (Memphis, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nkiruka Ezenwa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nkiruka Ezenwa accept?
Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare list Nkiruka Ezenwa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nkiruka Ezenwa was last updated on October 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.
# Nkiruka C Ezenwa, M.D · NPI 1225340649
Adolescent Medicine physician in Cordova, Tennessee. Individual provider, active in the CMS NPPES registry since July 14, 2010.
## Identity
- **NPI:** 1225340649 (Entity type: Individual)
- **Enumerated:** July 14, 2010
- **Primary specialty:** Pediatrics - Adolescent Medicine · taxonomy 2080A0000X
- **State license:** 50713 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2382 N GERMANTOWN PKWY STE 101, Cordova, TN 38016-7404
- **Phone:** (866) 378-5362
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Meharry Health Network, PC (NPI 1023647237, Cordova, TN); Ut Lebonheur Pediatric Specialists, Inc. (NPI 1093024101, Memphis, TN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 13, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1225340649) · Data from the CMS NPPES public registry.