EKELE ADAEZE EZIRIM
NPI 1780456657
Nurse Practitioner - Primary Care in Balch Springs, TX
About Ekele Adaeze Ezirim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EKELE ADAEZE EZIRIM (NPI 1780456657) is an individual primary care provider in Balch Springs, Texas, licensed in Texas (1112765) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ekele Adaeze Ezirim 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.
Medicare Billing Reassignment
Medicare enrollment records show Ekele Ezirim reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Garland, TX 75043
- Reassigned Medicare billing, Texas enrollment
- 7 clinicians in this Medicare group
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 75180 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ekele Ezirim's NPI number?
The NPI number for Ekele Ezirim is 1780456657. It was assigned to this individual provider in the NPPES registry on October 24, 2023.
Where is Ekele Ezirim located?
Ekele Ezirim practices at 4534 Maplewood Ave, Balch Springs, TX 75180. The listed phone number is (719) 314-8789.
What is Ekele Ezirim's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Ekele Ezirim enrolled in Medicare?
Yes. Ekele Ezirim 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.
Which organization bills Medicare for Ekele Ezirim's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ekele Ezirim reassigns Medicare benefits to Primary Visiting Clinicians PLLC (Garland, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ekele Ezirim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ekele Ezirim was last updated on October 24, 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.
# Ekele Adaeze Ezirim · NPI 1780456657
Primary Care physician in Balch Springs, Texas. Individual provider, active in the CMS NPPES registry since October 24, 2023.
## Identity
- **NPI:** 1780456657 (Entity type: Individual)
- **Enumerated:** October 24, 2023
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 1112765 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4534 MAPLEWOOD AVE, Balch Springs, TX 75180-4355
- **Phone:** (719) 314-8789
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Primary Visiting Clinicians PLLC (NPI 1720468390, Garland, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 2022
## Record status
- **NPPES last updated:** October 24, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780456657) · Data from the CMS NPPES public registry.