EZIAHA VICTOR IHEDIWAH
NPI 1447965660
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since January 23, 2023PECOS EnrolledAccepts Medicare Assignment
6060 N CENTRAL EXPY STE 500, DALLAS, TX 75206(945) 296-2799 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 15, 2026, Jan 23, 2023 (2 updates tracked since 2023).

About Eziaha Victor Ihediwah NPPES

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

EZIAHA VICTOR IHEDIWAH (NPI 1447965660) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (1104379) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1447965660
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEZIAHA VICTOR IHEDIWAH
Location Address6060 N CENTRAL EXPY STE 500Dallas, TX 75206-5249
Mailing Address1019 Shackelford LnForney, TX 75126-5096 · (929) 222-8811
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 23, 2023
Last NPPES UpdateMay 15, 20262 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1447965660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1104379
6060 N CENTRAL EXPY STE 500, Dallas, TX 75206

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eziaha Victor Ihediwah 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 ID2466800057
PECOS Enrollment IDI20231120003078
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 Reassignments

6

Medicare enrollment records show Eziaha Ihediwah reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
1019 SHACKELFORD LN
Forney, TX 75126
  • Reassigned Medicare billing, Texas enrollment
Psychiatry
1751 RIVER RUN STE 200
Fort Worth, TX 76107
  • Reassigned Medicare billing, Texas enrollment
  • 20 clinicians in this Medicare group
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Texas enrollment
  • 484 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Texas enrollment
  • 315 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Arizona, District of Columbia, New Mexico, Texas and Washington enrollments
  • 532 clinicians in this Medicare group
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California and Texas enrollments
  • 375 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75206 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES 18

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

Counselor (Professional)
6060 N CENTRAL EXPY STE 500
DALLAS, TX 75206
Counselor (Mental Health)
6060 N CENTRAL EXPY STE 500
DALLAS, TX 75206
Psychologist (Counseling)
6060 N CENTRAL EXPY STE 500
DALLAS, TX 75206
Contractor
6060 N CENTRAL EXPY STE 500
DALLAS, TX 75206
Nurse Practitioner (Psychiatric/Mental Health)
6060 N CENTRAL EXPY STE 500
DALLAS, TX 75206
Durable Medical Equipment & Medical Supplies (Customized Equipment)
6060 N CENTRAL EXPY STE 500
DALLAS, TX 75206
Physician Assistant
6060 N CENTRAL EXPY STE 500
DALLAS, TX 75206
Supports Brokerage
6060 N CENTRAL EXPY STE 500
DALLAS, TX 75206

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 Eziaha Ihediwah's NPI number?

The NPI number for Eziaha Ihediwah is 1447965660. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Eziaha Ihediwah located?

Eziaha Ihediwah practices at 6060 N Central Expy Ste 500, Dallas, TX 75206. The listed phone number is (945) 296-2799.

What is Eziaha Ihediwah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Eziaha Ihediwah enrolled in Medicare?

Yes. Eziaha Ihediwah 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.

Which organizations bill Medicare for Eziaha Ihediwah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eziaha Ihediwah reassigns Medicare benefits to 6 organizations: Solidbase Behavioral Health PLLC (Forney, TX), Ehab Yacoub MD PLLC (Fort Worth, TX), Sondermind Provider Network LLC (Denver, CO), Mental Health Specialty Group PA (Durham, NC), Grow Healthcare Group PA (Miami, FL) and 1 more organization, listed in the Medicare section above. 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 Eziaha Ihediwah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eziaha Ihediwah accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Arizona, Inc, Cigna Healthcare, Harbor Health and Imperial Insurance Companies, Inc. and 3 other insurers list Eziaha Ihediwah 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 Eziaha Ihediwah was last updated on May 15, 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.