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Active NPI 1689293672 Individual Practitioner Female Practitioner

Dr. Ekene Ezenwa , MD

Dermatology • Chicago, IL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ekene Ezenwa, MD is a certified Dermatology practicing in Chicago, IL. With approximately 6 years of clinical experience since graduating from University Of Oklahoma College Of Medicine in 2020, Dr. Ezenwa delivers high-quality medical care to the local community at 676 N SAINT CLAIR ST STE 1600.

Dr. Ezenwa is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

676 N Saint Clair St Ste 1600

Chicago, IL 606112997

Telephone 3126958106
Fax 3126950537
Associated Practice Facility / Clinic
🏢 University Of Chicago Facility NPI 1497907786

Medicare Profile & Education

Medical School

University Of Oklahoma College Of Medicine

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Chicago, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -11.3 yrs vs City Avg
City Avg: 17.3 Yrs
State Avg: 23.1 Yrs
Regional Practice Density
242 Specialists

Practicing in Chicago, IL (673 Statewide)

Telehealth Adoption Rate
9.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
65.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ezenwa (6 Years) 6 Yrs
Chicago Specialty Average (17.3 Years) 17.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
42 14 $46.00 $6.68
99213 Established patient office or other outpatient visit, typically 15 minutes
42 41 $219.00 $94.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
42 38 $323.00 $132.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
22 22 $330.00 $116.71
17000 Destruction of skin growth
21 21 $259.00 $56.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
18 18 $505.00 $174.73

Medical Specialties & State Licenses

CMS Verified: 2024-10-05
Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License IL 036168500

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License IL 125.077293

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

676 N St Clair, Chicago, IL 606112997

Phone: 3126958106

Secondary Practice Locations

4502 E 41st St

Tulsa, OK 741352536

Phone: 9186194400

5841 S Maryland Ave # Mc5067

Chicago, IL 606371443

Phone: 7737021611

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

26 Associated Practitioners
NPI 1003443532

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

NPI 1003875741

Doctor of Medicine (M.D.)

NPI 1033505243

Doctor of Medicine (M.D.)

NPI 1073856498

Doctor of Medicine (M.D.)

Dr. Lu Chen , MD

Dermatology

NPI 1124445077

Doctor of Medicine (M.D.)

NPI 1154713899

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location October 05, 2024

Registered at 676 N SAINT CLAIR ST STE 1600, CHICAGO, IL 606112997 (Tel: 3126958106)

📍
Updated Practice Location July 06, 2021

Registered at 5841 S MARYLAND AVE # MC5067, CHICAGO, IL 606371443 (Tel: 7737021611)

📍
Updated Business Mailing Address July 06, 2021

Registered at 180 HARVESTER DR STE 110, BURR RIDGE, IL 605276686 (Tel: 7737021150)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2021

Dermatology (License #125.077293 in IL)

NPI Profile Active April 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2020

Registered at 4502 E 41ST ST, TULSA, OK 741352536 (Tel: 9186194400)

📍
Updated Business Mailing Address April 10, 2020

Registered at 4502 E 41ST ST, TULSA, OK 741352536

👤
Provider Name / Credentials Updated April 10, 2020

Recorded as EKENE EZENWA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689293672
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2020
Last Update: October 05, 2024
Sole Proprietor: No

Mailing Address

180 Harvester Dr Ste 110

Burr Ridge, IL 605276686

Phone: 7737021150

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.