CHIDUBEM GALEN EZENNA MD
NPI 1962189886
Internal Medicine - Cardiovascular Disease in Omaha, NE

Q: What is Chidubem Ezenna's NPI number?

The NPI number for Chidubem Ezenna is 1962189886. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Q: What is Chidubem Ezenna's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Chidubem Ezenna was last updated on June 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 03, 2023PECOS Enrolled

S 42ND & EMILE ST, OMAHA, NE 68198(402) 559-8888 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2023, Jul 3, 2023 (2 updates tracked since 2023).

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About Chidubem Galen Ezenna Md NPPES

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

CHIDUBEM GALEN EZENNA MD (NPI 1962189886) is an individual cardiovascular disease provider in Omaha, Nebraska, licensed in Nebraska (10476) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962189886

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameCHIDUBEM GALEN EZENNACredential: MD

Location AddressS 42ND & EMILE STOmaha, NE 68198-2265

Mailing AddressS 42nd & Emile StOmaha, NE 68198-2265 · (402) 559-8888

Phone(402) 559-8888

Sole ProprietorNo

Enumeration DateJuly 3, 2023

Last NPPES UpdateJune 15, 20262 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1962189886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NE · 10476

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

S 42ND & EMILE ST, Omaha, NE 68198

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chidubem Galen Ezenna 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68198 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

$121.35 typical visit price

range $52.69 – $160.21

Typical copayment $30.33 (range $13.17 – $40.05)

Most-billed visit code 99204

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

Most-billed visit code 99213

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.

LAUREN EMILY COSTELLO MD

Student in an Organized Health Care Education/Training Program