RAPHAEL NDUBUISI EZEAGU MBBS
NPI 1609221555
Internal Medicine - Critical Care Medicine in Brooklyn, NY

Q: What is Raphael Ezeagu's NPI number?

The NPI number for Raphael Ezeagu is 1609221555. It was assigned to this individual provider in the NPPES registry on April 28, 2016.

Q: What is Raphael Ezeagu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Q: When was this NPI record last updated?

The NPPES record for Raphael Ezeagu was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since April 28, 2016PECOS EnrolledAccepts Medicare Assignment

4802 10TH AVE, MAIMONIDES MEDICAL CENTER, BROOKLYN, NY 11219(718) 283-8000 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2025, Sep 21, 2021 (2 updates tracked since 2021).

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About Raphael Ndubuisi Ezeagu Mbbs NPPES

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

RAPHAEL NDUBUISI EZEAGU MBBS (NPI 1609221555) is an individual critical care medicine provider in Brooklyn, New York, licensed in Tennessee (63181) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1609221555

Entity TypeIndividualMale

Primary Taxonomy207RC0200X

Provider Legal NameRAPHAEL NDUBUISI EZEAGUCredential: MBBS

Location Address4802 10TH AVE, MAIMONIDES MEDICAL CENTERBrooklyn, NY 11219-2916

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111 · Fax (423) 282-1657

Phone(718) 283-8000

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateApril 28, 2016

Last NPPES UpdateFebruary 7, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 7, 2025

✔ NPI 1609221555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RC0200X

License✔ Licensed in TN · 63181

Definition

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License 63181 (TN)

4802 10TH AVE, Brooklyn, NY 11219

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Raphael Ndubuisi Ezeagu Mbbs 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 ID1153723887

PECOS Enrollment IDI20210716001847

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

90 services89 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

15 services11 patients

Hospital Affiliations CMS Care Compare

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

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440063

Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11219 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

CARLOS BUZZETTA

Legal Medicine

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-8961

LOBELYS A ANICET PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-5660

CHIAMAKA MEREMETOH MD

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

JESSE M. GALINA

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

DR. ABANOUB ALFY NAKHLA MD

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

CHRISTINE LI MD

Student in an Organized Health Care Education/Training Program

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-6000

MS. KATRINA W SOWERBY FNP

Nurse Practitioner (Family)

4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219

Kings County (718) 283-7300

MAIMONIDES MEDICAL CENTER MAIMONIDES INFECTIOUS DISEASES FPP

Internal Medicine (Infectious Disease)

4802 10TH AVE
BROOKLYN, NY 11219

Kings County (718) 283-8773

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 Raphael Ezeagu's NPI number?

The NPI number for Raphael Ezeagu is 1609221555. It was assigned to this individual provider in the NPPES registry on April 28, 2016.

Where is Raphael Ezeagu located?

Raphael Ezeagu practices at 4802 10th Ave Maimonides Medical Center, Brooklyn, NY 11219. The listed phone number is (718) 283-8000.

What is Raphael Ezeagu's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Raphael Ezeagu enrolled in Medicare?

Yes. Raphael Ezeagu 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 Raphael Ezeagu accept?

Health plans from BlueCross BlueShield of Tennessee list Raphael Ezeagu 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 Raphael Ezeagu affiliated with any hospitals?

According to CMS data, Raphael Ezeagu is affiliated with Johnson City Medical Center.

When was this NPI record last updated?

The NPPES record for Raphael Ezeagu was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.