MS. KEZIAH EZEEMWENGHIAN AIBANGBEE (MD) – Sleep Medicine (Family Medicine) Physician, NPI 1942874136

MS. KEZIAH EZEEMWENGHIAN AIBANGBEE (MD) is a healthcare provider. based in Loves park, Illinois. specializing in SLEEP MEDICINE. They hold the professional credentials MD. They hold a License No. 036166842 (IL). The NPI Number for MS. KEZIAH EZEEMWENGHIAN AIBANGBEE (MD) is 1942874136

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. KEZIAH EZEEMWENGHIAN AIBANGBEE (MD)
NPI
1942874136
Phone
(815) 971-3397
Address
MERCYHEALTH 7702 N ALPINE RD
Enumeration Date
13 May 2021
Deactivation Date
27 October 2022
Reactivation Date
7 November 2022
Last Update Date
19 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9185793627
Graduation Year
2019 (7 years ago)
PAC ID
6901314798
Group Practice PAC ID
4284809278
Professional Enrollment ID
I20250804000767
Address ID
OK740173179CL1501XAVEX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

183 SLEEP MEDICINE in IL

Provider Addresses for MS. KEZIAH EZEEMWENGHIAN AIBANGBEE (MD)

  • MERCYHEALTH 7702 N ALPINE RD

    LOVES PARK, IL 61111

    Phone: (815) 971-3397

    Fax: (815) 971-9795

    Type: Mailing

  • 955 MAIN ST STE 7230

    BUFFALO, NY 142031121

    Phone: (716) 961-6955

    Fax: (716) 862-6304

    Type: Mailing

  • 9228 S MINGO RD STE 200

    TULSA, OK 741335722

    Phone: (918) 579-2981

    Fax: (918) 579-1262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Novo Nordisk Inc ($48).

Total Amount

$84

General + Research + Ownership

Payments

4

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2025-08-04

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
I20250804000767ISleep MedicineOKTBD

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 61111)

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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: 4284809278View full group profile
NameSpecialtyState
Cardiac Electrophysiology, Internal Medicine, Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyMN
Internal MedicineOK
Nurse PractitionerOK
O B S T E T R I C S/ G Y N E C O L O G YOK
Family PracticeOK
Certified Clinical Nurse Specialist (Cns)OK
Cardiovascular Disease (Cardiology)OK
Physician AssistantOK
Physician AssistantOK
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineOK

Reviews

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Frequently asked questions

Does MS. KEZIAH EZEEMWENGHIAN AIBANGBEE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MS. KEZIAH EZEEMWENGHIAN AIBANGBEE (MD) uses 1942874136.
Can I rely on MS. KEZIAH EZEEMWENGHIAN AIBANGBEE (MD) being an active provider?
As of the registry snapshot, MS. KEZIAH EZEEMWENGHIAN AIBANGBEE (MD) is marked active.
What is MS. KEZIAH EZEEMWENGHIAN AIBANGBEE (MD)'s specialty?
The listing groups MS. KEZIAH EZEEMWENGHIAN AIBANGBEE (MD) with Sleep Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What area does MS. KEZIAH EZEEMWENGHIAN AIBANGBEE (MD) serve?
MS. KEZIAH EZEEMWENGHIAN AIBANGBEE (MD)'s listing highlights Loves Park, Illinois; more addresses can appear in NPPES.
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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