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Active NPI 1811902307 Individual Practitioner Male Practitioner

Dr. Elias N Ezike , MD

Pediatrics • Beaumont, TX

Professional Overview & Biography Verified Profile Summary

Dr. Elias Ezike, MD is a registered healthcare professional specializing in Pediatrics in Beaumont, TX. Practice services are available at 87 INTERSTATE 10 N STE 221 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

87 Interstate 10 N Ste 221

Beaumont, TX 777072562

Telephone 4098389944
Fax 4098389086
Associated Practice Facility / Clinic
🏢 Elias Ezike, Md, P.a Facility NPI 1912233115

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Beaumont, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Beaumont, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% 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: 2024-08-15
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX M4774

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License GA 052430

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.

Pediatrics - Pediatric Infectious Diseases

NUCC Taxonomy Code: 2080P0208X

State License TX M4774

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License MI 4301076996

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
193069506 (TX)
Medicaid State Provider ID
990624171A (GA)

Secondary Practice Locations

3127 College St

Beaumont, TX 777014609

Phone: 4098991433

Practice Associates & Co-Workers

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

3 Associated Practitioners
Regina Perio , FNP

Nurse Practitioner - Family

NPI 1316648421

Family Nurse Practitioner

NPI 1477557866

Doctor of Medicine (M.D.)

NPI 1518962364

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 15, 2024

Registered at 87 INTERSTATE 10 N STE 221, BEAUMONT, TX 777072562 (Tel: 4098389944)

📍
Updated Business Mailing Address August 15, 2024

Registered at 87 INTERSTATE 10 N STE 221, BEAUMONT, TX 777072562 (Tel: 4098389944)

📍
Updated Practice Location January 27, 2019

Registered at 710 S 8TH ST STE A, BEAUMONT, TX 777014680 (Tel: 4098389944)

📍
Updated Business Mailing Address January 27, 2019

Registered at 710 S 8TH ST STE A, BEAUMONT, TX 777014680 (Tel: 4098389944)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2019

Pediatrics (License #052430 in GA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3127 COLLEGE ST, BEAUMONT, TX 777014609 (Tel: 4098991433)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3127 COLLEGE ST, BEAUMONT, TX 777014609 (Tel: 4098991433)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ELIAS EZIKE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #4301076996 in MI)

🟢
Initial NPI Registration & Enumeration July 31, 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: 1811902307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: August 15, 2024
Sole Proprietor: Yes

Mailing Address

87 Interstate 10 N Ste 221

Beaumont, TX 777072562

Phone: 4098389944

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.