Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013078351 Individual Practitioner Male Practitioner

Dr. Osita Victor Ezeakudo , MD

Pediatrics • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

Dr. Osita Ezeakudo, MD is a registered healthcare professional specializing in Pediatrics in Fort Wayne, IN. Practice services are available at 2510 E DUPONT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2510 E Dupont Rd
Suite 200

Fort Wayne, IN 468251601

Telephone 2604324913
Fax 2609696832
Associated Practice Facility / Clinic
🏢 Knee & Shoulder Center, Inc. Facility NPI 1811970858

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.5 Yrs
State Avg: 19.8 Yrs
Regional Practice Density
57 Specialists

Practicing in Fort Wayne, IN (1179 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-01-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IN 01065437A

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200910310 (IN)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Patricia Ezeakudo

Nurse Practitioner - Family

NPI 1104615707

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 31, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2018

Registered at 2510 E DUPONT RD, SUITE 200, FORT WAYNE, IN 468251601 (Tel: 2604324913)

📍
Updated Business Mailing Address January 31, 2018

Registered at 2518 E DUPONT RD, FORT WAYNE, IN 468251675 (Tel: 2604324400)

👤
Provider Name / Credentials Updated January 31, 2018

Recorded as OSITA EZEAKUDO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2018

Pediatrics (License #01065437A in IN)

NPI Profile Active July 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2016

Registered at 2510 E DUPONT RD, SUITE 200, FORT WAYNE, IN 468251601 (Tel: 2604324913)

📍
Updated Business Mailing Address July 18, 2016

Registered at 2518 E DUPONT RD, FORT WAYNE, IN 468251675 (Tel: 2604324400)

👤
Provider Name / Credentials Updated July 18, 2016

Recorded as OSITA EZEAKUDO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2016

Pediatrics (License #01065437A in IN)

🟢
Initial NPI Registration & Enumeration December 12, 2006

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: 1013078351
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: January 14, 2026
Sole Proprietor: No

Mailing Address

2518 E Dupont Rd

Fort Wayne, IN 468251675

Phone: 2604324400

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.