TIYAMIKE EZALA NP
NPI 1255902623
Family Medicine in Olathe, KS

Q: What is Tiyamike Ezala's NPI number?

The NPI number for Tiyamike Ezala is 1255902623. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Q: What is Tiyamike Ezala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiyamike Ezala was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 07, 2021PECOS Enrolled

26061 W 150TH ST, OLATHE, KS 66061(913) 292-4410 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Tiyamike Ezala Np NPPES

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

TIYAMIKE EZALA NP (NPI 1255902623) is an individual family medicine provider in Olathe, Kansas, licensed in Kansas (53-80288-091) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255902623

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameTIYAMIKE EZALACredential: NP

Location Address26061 W 150TH STOlathe, KS 66061-8511

Mailing Address26061 W 150th StOlathe, KS 66061-8511 · (913) 292-4410

Phone(913) 292-4410

Sole ProprietorYes

Enumeration DateJuly 7, 2021

NPPES CertifiedJune 30, 2021

✔ NPI 1255902623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KS · 53-80288-091

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

26061 W 150TH ST, Olathe, KS 66061

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiyamike Ezala Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Tiyamike Ezala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wound Care Plus, LLC

254 mi

Specialist

100 S 4TH ST STE 550
Saint Louis, MO 63102

Reassigned Medicare billing, Kansas enrollment
19 clinicians in this Medicare group

NPI 1841657053 (888) 402-0202

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

202 services42 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

113 services22 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

26 services16 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66061 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

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.

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 Tiyamike Ezala's NPI number?

The NPI number for Tiyamike Ezala is 1255902623. It was assigned to this individual provider in the NPPES registry on July 7, 2021.

Where is Tiyamike Ezala located?

Tiyamike Ezala practices at 26061 W 150th St, Olathe, KS 66061. The listed phone number is (913) 292-4410.

What is Tiyamike Ezala's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tiyamike Ezala enrolled in Medicare?

Yes. Tiyamike Ezala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tiyamike Ezala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiyamike Ezala reassigns Medicare benefits to Wound Care Plus, LLC (Saint Louis, MO). The 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 Tiyamike Ezala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tiyamike Ezala was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.