EZRA HUNTER (PA) – Physician Assistant, NPI 1265061543

EZRA HUNTER (PA) is a healthcare provider. based in Chicago, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085007818 (IL). The NPI Number for EZRA HUNTER (PA) is 1265061543

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
EZRA HUNTER (PA)
NPI
1265061543
Phone
Not provided
Address
4009 N BROADWAY ST
Enumeration Date
7 April 2020
Last Update Date
27 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7733881600
Graduation Year
2020 (6 years ago)
PAC ID
7315391620
Group Practice PAC ID
1052203155
Professional Enrollment ID
I20230920002207
Address ID
IL606264002CH6500XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

Provider Addresses for EZRA HUNTER (PA)

  • 4009 N BROADWAY ST

    CHICAGO, IL 606132110

    Phone:

    Type: Mailing

  • 1925 W ARGYLE ST APT 1

    CHICAGO, IL 606403353

    Phone: (858) 208-9878

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Gilead Sciences, Inc. ($63).

Total Amount

$167

General + Research + Ownership

Payments

6

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230920002207IPhysician AssistantILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60613)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052203155View full group profile
NameSpecialtyState
Nurse PractitionerIL
Physician AssistantIL
Physician AssistantIL
Family PracticeIL
Nurse PractitionerIL
Clinical Social WorkerIL
Family PracticeIL
-IL
Internal MedicineIL
Family PracticeMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for EZRA HUNTER (PA)?
EZRA HUNTER (PA) — NPI 1265061543 — is the standard way to identify this listing.
Does the file indicate EZRA HUNTER (PA) is practicing under active NPI?
Directory data currently reports EZRA HUNTER (PA) as active.
What is EZRA HUNTER (PA)'s specialty?
The listing groups EZRA HUNTER (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for EZRA HUNTER (PA)?
EZRA HUNTER (PA)'s geographic hint is Chicago, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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