DR. NGOZI K EZEUDE DPM
NPI 1902046881
Podiatrist - Foot Surgery in Clearwater, FL

Q: What is the provider's specialty?

The provider's specialty is Podiatrist with taxonomy code 213ES0131X and a focus in Foot Surgery.

Active since March 04, 2009PECOS Enrolled

855 S HIGHLAND AVE, CLEARWATER, FL 33756(727) 219-1833(727) 330-2908 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 23, 2019, Feb 20, 2017, Dec 18, 2016 (3 updates tracked since 2016).

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About Dr. Ngozi K Ezeude Dpm NPPES

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

DR. NGOZI K EZEUDE DPM (NPI 1902046881) is an individual foot surgery provider in Clearwater, Florida, licensed in Florida (PO3610) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1902046881

Entity TypeIndividualFemale

Primary Taxonomy213ES0131X

Provider Legal NameDR. NGOZI K EZEUDECredential: DPM

Location Address855 S HIGHLAND AVEClearwater, FL 33756

Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117

Phone(727) 219-1833

Fax(727) 330-2908

Sole ProprietorNo

Enumeration DateMarch 4, 2009

Last NPPES UpdateOctober 23, 20193 updates tracked since enumeration

✔ NPI 1902046881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0131X

License✔ Licensed in FL · PO3610

Also ListedPodiatristTaxonomy 213E00000X · License PO3610 (FL)

855 S HIGHLAND AVE, Clearwater, FL 33756

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Secondary Practice Location 1

Location 112180 28th St NSt Petersburg, FL 33716-1820 · Phone (800) 779-8551

Other Identifiers 1

Medicaid15159100FL

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. Ngozi K Ezeude Dpm 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.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE BELL

Social Worker