Dr Kenneth E Ezimoha, MD - Medicare Internal Medicine in Whitestone, NY

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Dr Kenneth E Ezimoha, MD is a medicare enrolled "Internal Medicine" physician in Whitestone, New York. He graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mill Basin Medical Health Pc and his current practice location is 15715 19th Ave, Whitestone, New York. You can reach out to his office (for appointments etc.) via phone at (718) 746-0408.

Dr Kenneth E Ezimoha is licensed to practice in New York (license number P135556) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760377071.

Contact Information

Dr Kenneth E Ezimoha, MD
15715 19th Ave,
Whitestone, NY 11357-3820
(718) 746-0408
Not Available

Map and Direction




Physician's Profile

Full NameDr Kenneth E Ezimoha
GenderMale
SpecialityInternal Medicine
Experience22 Years
Location15715 19th Ave, Whitestone, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kenneth E Ezimoha graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1760377071
  • Provider Enumeration Date: 06/09/2025
  • Last Update Date: 06/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4082125950
  • Enrollment ID: I20250617003125

Medical Identifiers

Medical identifiers for Dr Kenneth E Ezimoha such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760377071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine P135556 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Girling Health Care Of New YorkBrooklyn, NYHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mill Basin Medical Health Pc9133566128104

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kenneth E Ezimoha allows following entities to bill medicare on his behalf.
Entity NameMill Basin Medical Health PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346006202
PECOS PAC ID: 9133566128
Enrollment ID: O20240326003311

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth E Ezimoha is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth E Ezimoha, MD
15715 19th Ave,
Whitestone, NY 11357-3820

Ph: Not Available		Dr Kenneth E Ezimoha, MD
15715 19th Ave,
Whitestone, NY 11357-3820

Ph: (718) 746-0408

Reviews and Comments


Internal Medicine Doctors in Whitestone, NY

Huijuan Liao,
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Practice Location: 1519 144th St, Whitestone, NY 11357
Phone: 631-487-2460    
Dr. Mariano Stepancic, M.D.
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Practice Location: 15455 Willets Point Blvd, Whitestone, NY 11357
Phone: 718-886-2400    Fax: 718-886-9005
Dr. Daniel J Byrns, MD
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Practice Location: 1470 154th St, Whitestone, NY 11357
Phone: 718-767-1818    Fax: 718-767-5306
Nadira Tamanna Tamim,
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Practice Location: 15715 19th Ave, Whitestone, NY 11357
Phone: 718-746-0400    
Sotirios Kassapidis, MD
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Practice Location: 150-55 14th Avenue, Whitestone, NY 11357
Phone: 718-559-3300    
Ayman Z Attia-alla, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1752 Francis Lewis Blvd, Whitestone, NY 11357
Phone: 718-746-9494    Fax: 718-746-4963
Alexander Morden, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16020 Willets Point Blvd, Whitestone, NY 11357
Phone: 718-279-4300    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.