EDOZIE EZEANOLUE MD
NPI 1487592507
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since March 23, 2026PECOS Enrolled
9300 W SUNSET RD, LAS VEGAS, NV 89148(702) 916-5000 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edozie Ezeanolue Md NPPES

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

EDOZIE EZEANOLUE MD (NPI 1487592507) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487592507
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDOZIE EZEANOLUECredential: MD
Location Address9300 W SUNSET RDLas Vegas, NV 89148-4844
Mailing Address9300 W Sunset RdLas Vegas, NV 89148-4844
Sole ProprietorNo
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 22, 2026
NPI 1487592507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
9300 W SUNSET RD, Las Vegas, NV 89148

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edozie Ezeanolue 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.

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.

Internal Medicine
9300 W SUNSET RD
LAS VEGAS, NV 89148
Student in an Organized Health Care Education/Training Program
9300 W SUNSET RD
LAS VEGAS, NV 89148
Student in an Organized Health Care Education/Training Program
9300 W SUNSET RD
LAS VEGAS, NV 89148
Radiology (Diagnostic Radiology)
9300 W SUNSET RD
LAS VEGAS, NV 89148
Nurse Practitioner (Family)
9300 W SUNSET RD
LAS VEGAS, NV 89148
Nurse Practitioner
9300 W SUNSET RD
LAS VEGAS, NV 89148
Physical Therapist
9300 W SUNSET RD
LAS VEGAS, NV 89148
Dietitian, Registered
9300 W SUNSET RD
LAS VEGAS, NV 89148

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 Edozie Ezeanolue's NPI number?

The NPI number for Edozie Ezeanolue is 1487592507. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Edozie Ezeanolue located?

Edozie Ezeanolue practices at 9300 W Sunset Rd, Las Vegas, NV 89148. The listed phone number is (702) 916-5000.

What is Edozie Ezeanolue's specialty?

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

Is Edozie Ezeanolue enrolled in Medicare?

Yes. Edozie Ezeanolue is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edozie Ezeanolue was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.