YAMEN EZAIZI MD
NPI 1720475940
Pediatrics - Pediatric Gastroenterology in Rochester, MN

Q: What is Yamen Ezaizi's NPI number?

The NPI number for Yamen Ezaizi is 1720475940. It was assigned to this individual provider in the NPPES registry on April 26, 2015.

Q: What is Yamen Ezaizi's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Q: When was this NPI record last updated?

The NPPES record for Yamen Ezaizi was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 26, 2015PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2025, Aug 5, 2020, Jul 16, 2019 and 1 more (4 updates tracked since 2016).

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About Yamen Ezaizi Md NPPES

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

YAMEN EZAIZI MD (NPI 1720475940) is an individual pediatric gastroenterology provider in Rochester, Minnesota, licensed in Minnesota (65202) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in New Philadelphia.

NPPES Registry Identity

NPI1720475940

Entity TypeIndividualMale

Primary Taxonomy2080P0206X

Provider Legal NameYAMEN EZAIZICredential: MD

Location Address200 1ST ST SWRochester, MN 55905

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Enumeration DateApril 26, 2015

Last NPPES UpdateSeptember 3, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1720475940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in MN · 65202

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

Also ListedPediatricsTaxonomy 208000000X · License 35.128852 (OH)

200 1ST ST SW, Rochester, MN 55905

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Secondary Practice Location 1

Location 11045 W High AveNew Philadelphia, OH 44663-2071 · Phone (330) 308-5432 · Fax (330) 339-5912

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yamen Ezaizi Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Yamen Ezaizi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mayo Clinic

Same address

Infectious Disease

200 1ST ST SW
Rochester, MN 55905

Reassigned Medicare billing, Minnesota enrollment
6,534 clinicians in this Medicare group

NPI 1114343860 (507) 284-2511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

EMILY LEASURE MD

Internal Medicine