OSITA VICTOR EZEAKUDO M.D.
NPI 1013078351
Pediatrics in Fort Wayne, IN

NPI Status: Active since December 12, 2006

Contact Information

2510 E DUPONT RD
SUITE 200
FORT WAYNE, IN
ZIP 46825
Phone: (260) 432-4913
Fax: (260) 969-6832

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  • Individual
  • Male
  • Pediatrics
  • Accepts Insurance
  • PECOS Enrolled

About OSITA EZEAKUDO

This page provides the complete NPI Profile along with additional information for Osita Ezeakudo, a pediatrician established in Fort Wayne, Indiana with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1013078351 assigned on December 2006. The practitioner's primary taxonomy code is 208000000X with license number 01065437A (IN). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1013078351
Provider Name
OSITA VICTOR EZEAKUDO M.D.
Gender
Male
Entity Type
Individual
Location Address
2510 E DUPONT RD SUITE 200 FORT WAYNE, IN 46825
Location Phone
(260) 432-4913
Location Fax
(260) 969-6832
Mailing Address
2518 E DUPONT RD FORT WAYNE, IN 46825
Mailing Phone
(260) 432-4400
Mailing Fax
(260) 969-6832
Is Sole Proprietor?
No
Enumeration Date
12-12-2006
Last Update Date
01-31-2018
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A pediatrician like Osita Ezeakudo is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
01065437A
License State
IN
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
200910310MEDICAID (05)IN 

Medicare Participation & PECOS Enrollment Status

Osita Ezeakudo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 46825 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.04
  • Minimum New Patient Price $53.07
  • Maximum New Patient Price $161.76
  • Average New Patient Copayment $20.51
  • Minimum New Patient Copayment $13.26
  • Maximum New Patient Copayment $40.44

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.22
  • Minimum Established Patient Price $16.93
  • Maximum Established Patient Price $132.22
  • Average Established Patient Copayment $23.55
  • Minimum Established Patient Copayment $4.23
  • Maximum Established Patient Copayment $33.05

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for OSITA VICTOR EZEAKUDO M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013078351
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230716310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 7 + 1 + 6 + 3 + 1 + 0 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1013078351 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306838321 ALTHEA J. JACKSON M.D.
Individual
Obstetrics & Gynecology2510 E DUPONT RD SUITE 100
FORT WAYNE, IN 46825
(260) 490-9883
1811970858KNEE & SHOULDER CENTER, INC.
Organization
Orthopaedic Surgery2510 E DUPONT RD SUITE 206
FORT WAYNE, IN 46825
(260) 497-8855
1700856937 LISA M SCHOMOGYI MD
Individual
Surgery2510 E DUPONT RD SUITE 210
FORT WAYNE, IN 46825
(260) 969-2990
1447229380PULMONARY ASTHMA & ALLERGY CONSULTS
Organization
Internal Medicine (Pulmonary Disease)2510 E DUPONT RD STE 200
FORT WAYNE, IN 46825
(260) 489-6969
1558314039THREE RIVERS SURGICAL ASSOCIATES, LLC
Organization
Surgery2510 E DUPONT RD SUITE 210
FORT WAYNE, IN 46825
(260) 969-2990
1578523676 THEKKUMKATTIL D JAMES MD
Individual
Internal Medicine (Pulmonary Disease)2510 E DUPONT RD STE 200
FORT WAYNE, IN 46825
(260) 489-6969
1124459276FW INTERVENTIONAL PAIN MANAGEMENT LLC
Organization
Anesthesiology2510 E DUPONT RD SUITE 115
FORT WAYNE, IN 46825
(260) 672-8979
1497958946NORTHEAST FOOT & ANKLE CLINIC INC
Organization
Podiatrist2510 E DUPONT RD STE. 234
FORT WAYNE, IN 46825
(260) 416-0070
1821459413KIDS.HEALTHCARE PC
Organization
Pediatrics2510 E DUPONT RD SUITE 238
FORT WAYNE, IN 46825
(855) 200-7337
1992166490 LISA TUCKER RN, CPNP-PC
Individual
Nurse Practitioner (Pediatrics)2510 E DUPONT RD SUITE 238
FORT WAYNE, IN 46825
(855) 200-7337
1447634449ASSOCIATED SURGEONS AND PHYSICIANS, LLC
Organization
Pediatrics2510 E DUPONT RD SUITE 200
FORT WAYNE, IN 46825
(260) 432-4913
1396080156T-MED SERVICES, INC
Organization
Psychiatry & Neurology (Neurology)2510 E DUPONT RD SUITE 201
FORT WAYNE, IN 46825
(260) 267-6383
1265412266 MARY ANN MEO DO
Individual
Surgery2510 E DUPONT RD SUITE 210
FORT WAYNE, IN 46825
(260) 969-2990

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013078351, enumerated in the NPI registry as an "individual" on December 12, 2006

The provider is located at 2510 E Dupont Rd Suite 200 Fort Wayne, In 46825 and the phone number is (260) 432-4913

The provider's speciality is Pediatrics with taxonomy code 208000000X

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $82.04 with an average copayment of $20.51 for new patient appointments. Established patients should expect a typical charge of $94.22 and an average copayment of 23.55. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on December 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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