DR. ELIAS N EZIKE MD
NPI 1811902307
Pediatrics in Beaumont, TX

Active since July 31, 2006CLIA 45D2114527 · Waiver
87 INTERSTATE 10 N STE 221, BEAUMONT, TX 77707(409) 838-9944(409) 838-9086 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2024, Jun 11, 2019, Jan 27, 2019 (3 updates tracked since 2019).

About Dr. Elias N Ezike Md NPPES

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

DR. ELIAS N EZIKE MD (NPI 1811902307) is an individual pediatrics provider in Beaumont, Texas, licensed in Texas (M4774) and active in the NPI registry since July 2006. He holds a CLIA Waiver certificate valid through June 15, 2028 and maintains a secondary practice location in Beaumont.

NPPES Registry Identity

NPI1811902307
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. ELIAS N EZIKECredential: MD
Location Address87 INTERSTATE 10 N STE 221Beaumont, TX 77707-2562
Mailing Address87 Interstate 10 N Ste 221Beaumont, TX 77707-2562 · (409) 838-9944 · Fax (409) 838-9086
Fax(409) 838-9086
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateAugust 15, 20243 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
NPI 1811902307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses Licensed in TX · M4774 Licensed in GA · 052430 Licensed in MI · 4301076996
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Infectious DiseasesTaxonomy 2080P0208X · License M4774 (TX)
87 INTERSTATE 10 N STE 221, Beaumont, TX 77707

Secondary Practice Location 1

Location 13127 College StBeaumont, TX 77701-4609 · Phone (409) 899-1433 · Fax (409) 981-9089

Other Identifiers 2

Medicaid193069506TX
Medicaid990624171AGA

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2114527

Elias Ezike, MD, PA · Beaumont, TX
Active · expires Jun 15, 2028
CLIA Number45D2114527
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2026
Certificate Expiration DateJune 15, 2028
Laboratory DirectorElias N. Ezike
Laboratory Phone(409) 838-9944
Laboratory LocationElias Ezike, MD, PA87 Interstate 10 N Suite 221, Beaumont, TX 77707
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Elias Ezike's NPI number?

The NPI number for Elias Ezike is 1811902307. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Elias Ezike located?

Elias Ezike practices at 87 Interstate 10 N Ste 221, Beaumont, TX 77707. The listed phone number is (409) 838-9944.

What is Elias Ezike's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Elias Ezike hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2114527) is associated with this NPI, valid through June 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Elias Ezike accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and UnitedHealthcare list Elias Ezike 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 Elias Ezike was last updated on August 15, 2024. 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.