KANAYOCHUKWU EMMANUEL IKENEME MD
NPI 1497375539
Radiology - Diagnostic Radiology in Boston, MA

Active since April 18, 2020PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2025, Apr 18, 2020 (2 updates tracked since 2020).

About Kanayochukwu Emmanuel Ikeneme Md NPPES

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

KANAYOCHUKWU EMMANUEL IKENEME MD (NPI 1497375539) is an individual diagnostic radiology provider in Boston, Massachusetts, licensed in Massachusetts (1021855) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of University Of Texas Medical Branch At Galveston (2020).

NPPES Registry Identity

NPI1497375539
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKANAYOCHUKWU EMMANUEL IKENEMECredential: MD
Location Address55 FRUIT STBoston, MA 02114-2621
Mailing Address55 Fruit StBoston, MA 02114-2621
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2020
Enumeration DateApril 18, 2020
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1497375539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MA · 1021855
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
55 FRUIT ST, Boston, MA 02114

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

Kanayochukwu Emmanuel Ikeneme Md 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 ID9931627585
PECOS Enrollment IDI20250516002433, I20250521001512
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

2

Medicare enrollment records show Kanayochukwu Ikeneme reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
55 FRUIT ST, BUL 2
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts and New Hampshire enrollments
  • 6,360 clinicians in this Medicare group
General Acute Care Hospital
55 FRUIT ST, BULFINCH 360
Boston, MA 02114
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6,234 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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Pathology (Anatomic Pathology)
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Hematology & Oncology)
55 FRUIT ST
BOSTON, MA 02114
Anesthesiology
55 FRUIT ST, GRAY-BIGELOW 444
BOSTON, MA 02114
Physical Medicine & Rehabilitation
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Infectious Disease)
55 FRUIT ST, DIVISION OF INFECTIOUS DISEASE, GRJ-504
BOSTON, MA 02114
Nurse Practitioner (Acute Care)
55 FRUIT ST, BIGALOW 852 F
BOSTON, MA 02114
Nurse Practitioner
55 FRUIT ST
BOSTON, MA 02114
Internal Medicine (Cardiovascular Disease)
55 FRUIT ST
BOSTON, MA 02114

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 Kanayochukwu Ikeneme's NPI number?

The NPI number for Kanayochukwu Ikeneme is 1497375539. It was assigned to this individual provider in the NPPES registry on April 18, 2020.

Where is Kanayochukwu Ikeneme located?

Kanayochukwu Ikeneme practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (817) 702-1244.

What is Kanayochukwu Ikeneme's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kanayochukwu Ikeneme enrolled in Medicare?

Yes. Kanayochukwu Ikeneme 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 Kanayochukwu Ikeneme's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanayochukwu Ikeneme reassigns Medicare benefits to 2 organizations: Massachusetts General Physicians Organization Inc (Boston, MA) and The General Hospital Corporation (Boston, MA). 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 Kanayochukwu Ikeneme's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kanayochukwu Ikeneme accept?

Health plans from Taro Health list Kanayochukwu Ikeneme 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.

Is Kanayochukwu Ikeneme affiliated with any hospitals?

According to CMS data, Kanayochukwu Ikeneme is affiliated with Massachusetts General Hospital, Brigham And Women's Hospital, Faulkner Hospital-Brigham And Women's and Wentworth-Douglass Hospital.

When was this NPI record last updated?

The NPPES record for Kanayochukwu Ikeneme was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.