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Active NPI 1427285311 Individual Practitioner Female Practitioner

Dr. Imudia Dekonte Ehanire , MD

Surgery • Dickson, TN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Imudia Ehanire, MD is a certified Surgery practicing in Dickson, TN. With approximately 17 years of clinical experience since graduating from Howard University College Of Medicine in 2009, Dr. Ehanire delivers high-quality medical care to the local community at 127 CRESTVIEW PARK DR STE 201.

Dr. Ehanire is affiliated with Dickson Medical Associates, Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

127 Crestview Park Dr Ste 201

Dickson, TN 370552856

Telephone 6154414505
Fax 6154414515
Associated Practice Facility / Clinic
🏢 Dickson Medical Associates Pc Facility NPI 1568464873

Medicare Profile & Education

Medical School

Howard University College Of Medicine

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Dickson, TN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs -2.0 yrs vs City Avg
City Avg: 19.0 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
10 Specialists

Practicing in Dickson, TN (682 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
76.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ehanire (17 Years) 17 Yrs
Dickson Specialty Average (19.0 Years) 19.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
18 14 $327.60 $78.22

Medical Specialties & State Licenses

CMS Verified: 2025-05-09
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License KS 0439349

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200655770A (OK)
Medicaid State Provider ID
201142810A (KS)

Hospital & Practice Group Affiliations

Dickson Medical Associates, Pc

127 Crestview Park Dr, Dickson, TN 370552855

Phone: 6154465121

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location May 09, 2025

Registered at 127 CRESTVIEW PARK DR STE 201, DICKSON, TN 370552856 (Tel: 6154414505)

📍
Updated Business Mailing Address May 09, 2025

Registered at 127 CRESTVIEW PARK DR, DICKSON, TN 370552855 (Tel: 6154465121)

NPI Profile Active March 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2017

Registered at 305 W 15TH ST, STE 204, LIBERAL, KS 679012455 (Tel: 6206244946)

📍
Updated Business Mailing Address March 08, 2017

Registered at PO BOX 1215, ATTN CLINIC BILLING OFFICE, LIBERAL, KS 679051215 (Tel: 6206296638)

👤
Provider Name / Credentials Updated March 08, 2017

Recorded as IMUDIA EHANIRE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2017

Surgery (License #0439349 in KS)

NPI Profile Active September 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 01, 2016

Registered at 2041 GEORGIA AVE NW, WASHINGTON, DC 200600001 (Tel: 2028656100)

📍
Updated Business Mailing Address September 01, 2016

Registered at 305 W 15TH ST, STE 204, LIBERAL, KS 679012455 (Tel: 3019226539)

👤
Provider Name / Credentials Updated September 01, 2016

Recorded as IMUDIA EHANIRE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2016

Surgery (License #0439349 in KS)

🟢
Initial NPI Registration & Enumeration June 17, 2009

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: 1427285311
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2009
Last Update: May 09, 2025
Sole Proprietor: No

Mailing Address

127 Crestview Park Dr

Dickson, TN 370552855

Phone: 6154465121

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.