DR. IKEMEFUNA IKEM EZEDI DO
NPI 1255745626
General Practice in San Diego, CA

Q: What is Ikemefuna Ezedi's NPI number?

The NPI number for Ikemefuna Ezedi is 1255745626. It was assigned to this individual provider in the NPPES registry on June 13, 2014. The provider is also known as Ikemefuna Ikem Ezedi Do.

Q: What is Ikemefuna Ezedi's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Ikemefuna Ezedi was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 13, 2014PECOS EnrolledAccepts Medicare Assignment

34800 BOB WILSON DR DEPT OF, SAN DIEGO, CA 92134(619) 532-9795 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2026, Aug 7, 2024, Nov 9, 2023 (3 updates tracked since 2023).

On this page

About Dr. Ikemefuna Ikem Ezedi Do NPPES

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

DR. IKEMEFUNA IKEM EZEDI DO (NPI 1255745626) is an individual general practice provider in San Diego, California, licensed in Virginia (0102204201) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hampton, and is a graduate of Philadelphia College Of Osteopathic Medicine (2014).

NPPES Registry Identity

NPI1255745626

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. IKEMEFUNA IKEM EZEDICredential: DO

Location Address34800 BOB WILSON DR DEPT OFSan Diego, CA 92134-1098

Mailing Address34800 Bob Wilson Dr Dept OfSan Diego, CA 92134-1098 · (619) 532-9795

Phone(619) 532-9795

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2014

Enumeration DateJune 13, 2014

Last NPPES UpdateMarch 17, 20263 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1255745626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0102204201

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X · License 0102204201 (VA)

34800 BOB WILSON DR DEPT OF, San Diego, CA 92134

Open in Google Maps ↗

Other Names 1

Professional Name (2)Ikemefuna Ikem Ezedi Do

Secondary Practice Location 1

Location 12304 W Mercury BlvdHampton, VA 23666-3115 · Phone (757) 951-1579

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

Dr. Ikemefuna Ikem Ezedi Do 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 ID941657027

PECOS Enrollment IDI20231110001920, I20231123000043

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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

144 services141 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

75 services75 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

67 services66 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

57 services57 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

56 services56 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

55 services55 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

49 services49 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

42 services42 patients

Manual urinalysis test with examination using microscope, non-automated 81000

A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.

40 services40 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

26 services26 patients

Blood test, basic group of blood chemicals (calcium, ionized) 80047

A basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.

24 services24 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

13 services13 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM D GOLDENBERG MD

Emergency Medicine

34800 BOB WILSON DR DEPT OF
SAN DIEGO, CA 92134

San Diego County (619) 532-8276

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 Ikemefuna Ezedi's NPI number?

The NPI number for Ikemefuna Ezedi is 1255745626. It was assigned to this individual provider in the NPPES registry on June 13, 2014. The provider is also known as Ikemefuna Ikem Ezedi Do.

Where is Ikemefuna Ezedi located?

Ikemefuna Ezedi practices at 34800 Bob Wilson Dr Dept Of, San Diego, CA 92134. The listed phone number is (619) 532-9795.

What is Ikemefuna Ezedi's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Ikemefuna Ezedi enrolled in Medicare?

Yes. Ikemefuna Ezedi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ikemefuna Ezedi was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.