EZRA HUNTER PA
NPI 1265061543
Physician Assistant in Chicago, IL

Q: What is Ezra Hunter's NPI number?

The NPI number for Ezra Hunter is 1265061543. It was assigned to this individual provider in the NPPES registry on April 7, 2020.

Q: What is Ezra Hunter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ezra Hunter was last updated on September 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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 April 07, 2020PECOS EnrolledAccepts Medicare Assignment

4009 N BROADWAY ST, CHICAGO, IL 60613(773) 275-2586 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 27, 2024, Oct 13, 2022, Apr 7, 2020 (3 updates tracked since 2020).

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About Ezra Hunter Pa NPPES

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

EZRA HUNTER PA (NPI 1265061543) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.007818) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265061543

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameEZRA HUNTERCredential: PA

Location Address4009 N BROADWAY STChicago, IL 60613-2110

Mailing Address4009 N Broadway StChicago, IL 60613-2110

Phone(773) 275-2586

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateApril 7, 2020

Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 27, 2024

✔ NPI 1265061543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085.007818

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 085007818 (IL)

4009 N BROADWAY ST, Chicago, IL 60613

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Ezra Hunter Pa 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 ID7315391620

PECOS Enrollment IDI20230920002207

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60613 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AISHA AYO WESLEY PA-C

Physician Assistant (Medical)