CAMELLUS O EZEUGWU (M.D.) – Specialist, NPI 1194720110

CAMELLUS O EZEUGWU (M.D.) is a healthcare provider. based in Ellicott city, Maryland. specializing in INTERNAL MEDICINE, CARDIOVASCULAR DISEASE (CARDIOLOGY), CRITICAL CARE (INTENSIVISTS). They hold the professional credentials M.D.. They hold a License No. D0053981 (MD). The NPI Number for CAMELLUS O EZEUGWU (M.D.) is 1194720110

Main info

Male
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
CAMELLUS O EZEUGWU (M.D.)
NPI
1194720110
Phone
(410) 225-8615
Address
3906 SAINT JOHNS LN
Enumeration Date
16 June 2005
Last Update Date
16 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4106531822
Graduation Year
1989 (37 years ago)
PAC ID
7214834092
Group Practice PAC ID
7416854286
Professional Enrollment ID
I20031218000690
Address ID
MD212086394PI2XXXXCIRX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,245 INTERNAL MEDICINE in MD

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Provider Addresses for CAMELLUS O EZEUGWU (M.D.)

  • 3906, Saint Johns Lane, Keywaydin, Dunloggin, Ellicott City, Howard County, Maryland, 21042, United States

    PO BOX 6545

    ELLICOTT CITY, MD 210425337

    Phone: (410) 225-8615

    Fax: (410) 462-5095

    Type: Mailing

  • 300, Armory Place, Midtown-Belvedere, Baltimore, Maryland, 21201, United States

    STE 3M

    BALTIMORE, MD 212014603

    Phone: (410) 225-8615

    Fax: (410) 462-5095

    Type: Location

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: 2003-12-18

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
I20031218000690IInternal MedicineMDTBD

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
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days1,942234$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes1,928233$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month870169$0
99215Established patient office or other outpatient visit, 40-54 minutes703228$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month204101$0
View full utilization report →

Insurance plans in this area (ZIP 21042)

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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: 7416854286View full group profile
NameSpecialtyState
General Surgery, General PracticeMD
Physician AssistantMD

Reviews

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Frequently asked questions

What unique ID ties claims to CAMELLUS O EZEUGWU (M.D.)?
NPI 1194720110 is assigned to CAMELLUS O EZEUGWU (M.D.) under the national enumeration system.
Does this profile mean CAMELLUS O EZEUGWU (M.D.) is currently active?
Yes — CAMELLUS O EZEUGWU (M.D.) appears active in the national provider directory.
What kind of provider is CAMELLUS O EZEUGWU (M.D.)?
The page reflects Other Service Providers for CAMELLUS O EZEUGWU (M.D.). Clinical services aligned with this taxonomy classification.
Does CAMELLUS O EZEUGWU (M.D.) practice in Maryland?
You will see Ellicott City, Maryland on file for CAMELLUS O EZEUGWU (M.D.) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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