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DR. COLLINS EZEUKA M.D.
NPI 1730522590
General Practice in Lakewood Ranch, FL

Active since April 11, 2013PECOS Enrolled
11645 MONUMENT DR UNIT 1306, LAKEWOOD RANCH, FL 34211(941) 208-3070 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 16, 2023, Oct 17, 2023, Mar 16, 2023 and 2 more (5 updates tracked since 2020).

About Dr. Collins Ezeuka M.d. NPPES

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

DR. COLLINS EZEUKA M.D. (NPI 1730522590) is an individual general practice provider in Lakewood Ranch, Florida, licensed in Florida (ME143828) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730522590
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. COLLINS EZEUKACredential: M.D.
Location Address11645 MONUMENT DR UNIT 1306Lakewood Ranch, FL 34211-1275
Mailing Address5342 Clark Rd # 3072Sarasota, FL 34233-3227 · (818) 554-0112
Phone(941) 208-3070
Sole ProprietorNo
Enumeration DateApril 11, 2013
Last NPPES UpdateOctober 17, 20235 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1730522590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME143828
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
11645 MONUMENT DR UNIT 1306, Lakewood Ranch, FL 34211
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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), Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Collins Ezeuka M.d. 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.

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 Collins Ezeuka's NPI number?

The NPI number for Collins Ezeuka is 1730522590. It was assigned to this individual provider in the NPPES registry on April 11, 2013.

Where is Collins Ezeuka located?

Collins Ezeuka practices at 11645 Monument Dr Unit 1306, Lakewood Ranch, FL 34211. The listed phone number is (941) 208-3070.

What is Collins Ezeuka's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Collins Ezeuka enrolled in Medicare?

Yes. Collins Ezeuka is registered in the Medicare PECOS enrollment system.

What insurance does Collins Ezeuka accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Collins Ezeuka 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 Collins Ezeuka was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.