DR. EKENE EZENWA MD
NPI 1689293672
Dermatology in Chicago, IL

Q: What is Ekene Ezenwa's NPI number?

The NPI number for Ekene Ezenwa is 1689293672. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Q: What is Ekene Ezenwa's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Q: When was this NPI record last updated?

The NPPES record for Ekene Ezenwa was last updated on October 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 10, 2020PECOS EnrolledAccepts Medicare Assignment

676 N SAINT CLAIR ST STE 1600, CHICAGO, IL 60611(312) 695-8106(312) 695-0537 Get Directions Write a Review

NPPES record last updated: October 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2024, Sep 9, 2024, Jul 6, 2021 and 1 more (4 updates tracked since 2020).

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About Dr. Ekene Ezenwa Md NPPES

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

DR. EKENE EZENWA MD (NPI 1689293672) is an individual dermatology provider in Chicago, Illinois, licensed in Illinois (036168500) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689293672

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameDR. EKENE EZENWACredential: MD

Location Address676 N SAINT CLAIR ST STE 1600Chicago, IL 60611-2997

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150

Phone(312) 695-8106

Fax(312) 695-0537

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2020

Enumeration DateApril 10, 2020

Last NPPES UpdateOctober 5, 20244 updates tracked since enumeration

NPPES CertifiedOctober 5, 2024

✔ NPI 1689293672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

Licenses✔ Licensed in IL · 036168500✔ Licensed in IL · 125.077293

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

676 N SAINT CLAIR ST STE 1600, Chicago, IL 60611

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Secondary Practice Locations 2

Location 14502 E 41st StTulsa, OK 74135-2536 · Phone (918) 619-4400

Location 25841 S Maryland Ave # Mc5067Chicago, IL 60637-1443 · Phone (773) 702-1611 · Fax (773) 834-7071

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

Dr. Ekene Ezenwa 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 ID6901208792

PECOS Enrollment IDI20241017001546

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 6

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

42 services14 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

42 services41 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

42 services38 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

21 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

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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.

EDWARD B LI MD, PHD

Dermatology