PRINCE OSAZUWA EHIMAMIEGHO MD
NPI 1497499719
Family Medicine in Peoria, IL

Q: What is Prince Ehimamiegho's NPI number?

The NPI number for Prince Ehimamiegho is 1497499719. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Q: What is Prince Ehimamiegho's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 22, 2022PECOS EnrolledAccepts Medicare Assignment

815 MAIN ST STE C, PEORIA, IL 61602(309) 672-4977 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2025, Nov 6, 2025, Apr 22, 2022 (3 updates tracked since 2022).

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About Prince Osazuwa Ehimamiegho Md NPPES

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

PRINCE OSAZUWA EHIMAMIEGHO MD (NPI 1497499719) is an individual family medicine provider in Peoria, Illinois, licensed in California (A202757) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1497499719

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NamePRINCE OSAZUWA EHIMAMIEGHOCredential: MD

Location Address815 MAIN ST STE CPeoria, IL 61602-1080

Mailing Address9466 Mourverde CtElk Grove, CA 95624-4611

Phone(309) 672-4977

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 22, 2022

Last NPPES UpdateNovember 14, 20253 updates tracked since enumeration

NPPES CertifiedNovember 14, 2025

✔ NPI 1497499719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · A202757✔ Licensed in IL · 036172524

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

815 MAIN ST STE C, Peoria, IL 61602

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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 and accepts Medicare assignment

Prince Osazuwa Ehimamiegho 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 ID42725764

PECOS Enrollment IDI20250711003879, I20250822000861

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 61602 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

DR. THOMAS TSZ HIM CHOW DO

Student in an Organized Health Care Education/Training Program