OJIAKU BALEWA IKEZUAGU (MD) – Family Medicine Physician, NPI 1174672026

OJIAKU BALEWA IKEZUAGU (MD) is a healthcare provider. based in Corydon, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 40468 (IA). The NPI Number for OJIAKU BALEWA IKEZUAGU (MD) is 1174672026

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
OJIAKU BALEWA IKEZUAGU (MD)
NPI
1174672026
Phone
(641) 872-2063
Address
417 S EAST ST
Enumeration Date
9 January 2007
Last Update Date
16 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5153862114
Graduation Year
2005 (21 years ago)
PAC ID
4587811781
Group Practice PAC ID
1456760644
Professional Enrollment ID
I20120823000086
Address ID
IA501291645JE1000XWAYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,656 FAMILY PRACTICE in IA

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Provider Addresses for OJIAKU BALEWA IKEZUAGU (MD)

  • 417, South East Street, Corydon, Wayne County, Iowa, 50060, United States

    PO BOX 305

    CORYDON, IA 500600305

    Phone: (641) 872-2063

    Fax: (641) 872-2070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-08-23

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
I20120823000086IFamily PracticeIATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making144138$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only139119$0
99283Emergency department visit with low level of medical decision making125119$0
99282Emergency department visit with straightforward medical decision making6160$0
99285Emergency department visit with high level of medical decision making4645$0
View full utilization report →

Insurance plans in this area (ZIP 50060)

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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: 1456760644View full group profile
NameSpecialtyState
Family Practice, Emergency MedicineIA
Emergency MedicineVA
Emergency MedicineIA
Emergency MedicineIL
Emergency MedicineNE

Reviews

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Frequently asked questions

What is OJIAKU BALEWA IKEZUAGU (MD)'s NPI number?
OJIAKU BALEWA IKEZUAGU (MD)'s NPI is 1174672026 — the number used across U.S. healthcare to identify this provider.
Is OJIAKU BALEWA IKEZUAGU (MD) still an active registrant?
OJIAKU BALEWA IKEZUAGU (MD) carries an active NPI according to the public dataset.
How would a patient describe OJIAKU BALEWA IKEZUAGU (MD)'s focus?
For OJIAKU BALEWA IKEZUAGU (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is OJIAKU BALEWA IKEZUAGU (MD) associated with Corydon?
Public fields place OJIAKU BALEWA IKEZUAGU (MD) around Corydon, Iowa. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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