CHIZOBA J. EZEPUE MD – NPI #1568802148
Psychiatry & Neurology

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

CHIZOBA EZEPUE is a psychiatry & neurologist located in BRIDGETON, MO. NPPES has assigned the NPI number 1568802148 to CHIZOBA EZEPUE on June 27, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084V0102X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Vascular Neurology

The NPI profile was previously updated about 2 years ago on Jan 22, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHIZOBA EZEPUE below.

NPI Profile for
CHIZOBA J. EZEPUE

NPI Number
1568802148
Enumeration Date

(about 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHIZOBA J. EZEPUE
Credentials
MD
Primary location
12266 DE PAUL DR STE 100
BRIDGETON, MO 63044-2541
Phone: (314) 738-2770 Fax:
3 Other location(s):
301 N 8th St
Springfield, IL 62701-1041
Phone: (217) 528-7541
611 W Park St
Carle Forum LL
Urbana, IL 61801-2500
Phone: (217) 383-3110
3635 Vista Ave
Saint Louis, MO 63110
Phone: (240) 528-0044
Mailing address
PO BOX 955534
SAINT LOUIS, MO 63195-2500
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jan 22, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084V0102X
- Psychiatry & Neurology / Vascular Neurology (Primary)		 MO 2017020334
2084N0400X
- Psychiatry & Neurology / Neurology		 WI 71351

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
12266 DE PAUL DR STE 100,
BRIDGETON, MO 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3635 VISTA AVE,
SAINT LOUIS, MO 77025-1669
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
3635 VISTA AVE,
SAINT LOUIS, MO 77025-1669
Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
12266 DE PAUL DR STE 100,
BRIDGETON, MO 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
CHIZOBA EZEPUE is affiliated with the following medical group(s):
  • HOSPITAL
    • SSM HEALTH DEPAUL HOSPITAL ST LOUIS
      12303 DEPAUL DRIVE
      BRIDGETON, MO 63044
    • SSM ST CLARE HEALTH CENTER
      1015 BOWLES
      FENTON, MO 63026
    • ST JOHNS HOSPITAL
      800 E CARPENTER ST
      SPRINGFIELD, IL 62769

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.