DR. NKEMAKONAM H IKEKPEAZU MD NPI 1679680391
Surgery in West Haven, CT

Individual Male Years of Experience 39 Surgery PECOS Enrolled Accepts Medicare Approved Payment

About DR. NKEMAKONAM H IKEKPEAZU MD

Nkemakonam Ikekpeazu is a provider established in West Haven, Connecticut and his medical specialization is Surgery with more than 39 years of experience. He graduated from College Of Medicine And Surgery in 1984. The NPI number of Nkemakonam Ikekpeazu is 1679680391 and was assigned on August 2006. The practitioner's primary taxonomy code is 208600000X with license number 037057 (CT). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1679680391
Provider NameDR. NKEMAKONAM H IKEKPEAZU MD
Provider Location Address764 CAMPBELL AVE WEST HAVEN, CT 06516
Provider Mailing Address764 CAMPBELL AVE STE B WEST HAVEN, CT 06516
GenderMale
NPI Entity TypeIndividual
Medical School NameCOLLEGE OF MEDICINE AND SURGERY
Graduation Year1984
Is Sole Proprietor?Yes
Enumeration Date08-25-2006
Last Update Date02-17-2016

A surgeon like Dr. Nkemakonam H Ikekpeazu Md treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.Nkemakonam Ikekpeazu is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Nkemakonam Ikekpeazu is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Yale-new Haven Hospital.

The typical physician office visit costs for Medicare beneficiaries in this area are: $24.29 for a new patient copayment and $19.77 for an established patient copayment.



Primary Taxonomy

Taxonomy Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.037057
License StateCT
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Business Address

DR. NKEMAKONAM H IKEKPEAZU MD
764 CAMPBELL AVE
WEST HAVEN, CT
ZIP 06516
Phone: (203) 937-8778
Fax: (203) 937-5712

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Mailing Address

DR. NKEMAKONAM H IKEKPEAZU MD
764 CAMPBELL AVE STE B
WEST HAVEN, CT
ZIP 06516
Phone: (203) 937-8778
Fax: (203) 937-5712


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID1759555287
PECOS Enrollment IDI20111119000100
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 06516 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$63.47 $190.87 $97.18
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$15.86 $47.71 $24.29
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$20.08 $156.18 $79.11
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.02 $39.04 $19.77

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 11Diagnostic examination of large bowel using an endoscope (HCPCS:45378)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nkemakonam Ikekpeazu is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
YALE-NEW HAVEN HOSPITAL20 YORK ST
NEW HAVEN, CT 6504
(203) 688-4242Acute Care Hospitals70022

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
020001425MEDICARE ID-TYPE UNSPECIFIED (04)
G78247MEDICARE UPIN (02)
001370577MEDICAID (05)CT

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679680391
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491280318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 2 + 8 + 0 + 3 + 1 + 8 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1679680391 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003005703INTERNAL MEDICINE OF WESTHAVEN,LLC
Organization
Internal Medicine764 CAMPBELL AVE SUITE E
WEST HAVEN, CT 06516
(203) 931-0034
1861622474PHYSICAL THERAPY & REHABILITATION CENTER LLC
Organization
Physical Therapist764 CAMPBELL AVE SUITE H
WEST HAVEN, CT 06516
(203) 909-6470
1619991981 SEAN WAYNE LAZARUS D.P.M
Individual
Podiatrist764 CAMPBELL AVE SUITE G
WEST HAVEN, CT 06516
(475) 238-7400
1629430251 SANDHYA JINESH
Individual
Pharmacist764 CAMPBELL AVE UNIT A
WEST HAVEN, CT 06516
(203) 934-7100
1437561990WEST HAVEN PHARMACY, LLC
Organization
Pharmacy (Community/Retail Pharmacy)764 CAMPBELL AVE
WEST HAVEN, CT 06516
(203) 974-7100
1881180222DR. EYMY DIANA CHACON APRN
Individual
Nurse Practitioner (Family)764 CAMPBELL AVE
WEST HAVEN, CT 06516
(203) 931-0034

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Nkemakonam H Ikekpeazu Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.