DR. IKECHUKWU FELIX EZEKWE JR. MD
NPI 1265288963
Student in an Organized Health Care Education/Training Program in Detroit, MI

Q: What is Ikechukwu Ezekwe's NPI number?

The NPI number for Ikechukwu Ezekwe is 1265288963. It was assigned to this individual provider in the NPPES registry on April 24, 2024.

Q: What is Ikechukwu Ezekwe's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Ikechukwu Ezekwe was last updated on April 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 24, 2024PECOS Enrolled

4201 SAINT ANTOINE ST STE 6A, DETROIT, MI 48201(313) 745-4627 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Ikechukwu Felix Ezekwe Jr. Md NPPES

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

DR. IKECHUKWU FELIX EZEKWE JR. MD (NPI 1265288963) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265288963

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. IKECHUKWU FELIX EZEKWE JR.Credential: MD

Location Address4201 SAINT ANTOINE ST STE 6ADetroit, MI 48201-2153

Mailing Address4201 Saint Antoine St Ste 9cDetroit, MI 48201-2153 · (313) 745-4627

Phone(313) 745-4627

Sole ProprietorNo

Enumeration DateApril 24, 2024

NPPES CertifiedApril 24, 2024

✔ NPI 1265288963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4201 SAINT ANTOINE ST STE 6A, Detroit, MI 48201

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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. Ikechukwu Felix Ezekwe Jr. 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.

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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.

AVNEET KAUR M S ARORA MD, MPH

Student in an Organized Health Care Education/Training Program