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ECHEZONA EDOZIE EZEANOLUE M.D.
NPI 1598743254
Pediatrics - Pediatric Infectious Diseases in Las Vegas, NV

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
3006 S MARYLAND PKWY, 315, LAS VEGAS, NV 89109(702) 992-6868(702) 992-6860 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Echezona Edozie Ezeanolue M.d. NPPES

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

ECHEZONA EDOZIE EZEANOLUE M.D. (NPI 1598743254) is an individual pediatric infectious diseases provider in Las Vegas, Nevada, licensed in Nevada (11027) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1598743254
Entity TypeIndividualMale
Primary Taxonomy2080P0208X
Provider Legal NameECHEZONA EDOZIE EZEANOLUECredential: M.D.
Location Address3006 S MARYLAND PKWY, 315Las Vegas, NV 89109-2218
Mailing Address1701 W Charleston Blvd, #215Las Vegas, NV 89102-2325 · (702) 671-2355 · Fax (702) 382-5388
Phone(702) 992-6868
Fax(702) 992-6860
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 4, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1598743254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in NV · 11027
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
3006 S MARYLAND PKWY, Las Vegas, NV 89109
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Other Identifiers 2

Medicaid100506925NV
OtherCS13694NV · State Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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

Echezona Edozie Ezeanolue M.d. 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 ID4183659907
PECOS Enrollment IDI20250905003506, I20260107002108, I20260416002070
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.

CHERIE LIN D.O.
Internal Medicine
3006 S MARYLAND PKWY, SUITE 400
LAS VEGAS, NV 89109
Clark County (702) 369-5582
DR. IKRAM U KHAN MD
Surgery
3006 S MARYLAND PKWY, SUITE 465
LAS VEGAS, NV 89109
Clark County (702) 595-1059
UNIVERSITY OF NV SCHOOL MULTISPECIALTY GROUP PRACTICE SOUTH INC
Pediatrics
3006 S MARYLAND PKWY, 320
LAS VEGAS, NV 89109
Clark County (702) 992-6868
HUGH S SELZNICK M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
3006 S MARYLAND PKWY, 570
LAS VEGAS, NV 89109
Clark County (702) 777-2663
TAMMY L ROPER R.N.
Registered Nurse
3006 S MARYLAND PKWY, 690
LAS VEGAS, NV 89109
Clark County (702) 732-1290
SAMMIE K YAMAGATA R.N.
Registered Nurse
3006 S MARYLAND PKWY, SUITE 690
LAS VEGAS, NV 89109
Clark County (702) 732-1290
WENDY H. KING M.D.
Pediatrics
3006 S MARYLAND PKWY, 315
LAS VEGAS, NV 89109
Clark County (702) 992-6868
DR. PORNPIMON BOONYAKIAT M.D.
Pediatrics
3006 S MARYLAND PKWY, STE 270
LAS VEGAS, NV 89109
Clark County (702) 369-6161

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 Echezona Ezeanolue's NPI number?

The NPI number for Echezona Ezeanolue is 1598743254. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Echezona Ezeanolue located?

Echezona Ezeanolue practices at 3006 S Maryland Pkwy 315, Las Vegas, NV 89109. The listed phone number is (702) 992-6868.

What is Echezona Ezeanolue's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Echezona Ezeanolue enrolled in Medicare?

Yes. Echezona Ezeanolue 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.

What insurance does Echezona Ezeanolue accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Echezona Ezeanolue 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 Echezona Ezeanolue was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.