KENNETH EJIKEME IZUORA (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1023167525

KENNETH EJIKEME IZUORA (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in ENDOCRINOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 061267 (GA). The NPI Number for KENNETH EJIKEME IZUORA (MD) is 1023167525

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH EJIKEME IZUORA (MD)
NPI
1023167525
Phone
(702) 780-7118
Address
3016 W CHARLESTON BLVD STE 100
Enumeration Date
10 January 2007
Last Update Date
28 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
6305945643
Group Practice PAC ID
4183991458
Professional Enrollment ID
I20100907000675
Address ID
NV891022353LA1707XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience90
Completeness75
Years active:19State licenses:3Digital endpointsOther names

77 ENDOCRINOLOGY in NV

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Provider Addresses for KENNETH EJIKEME IZUORA (MD)

  • West Charleston Boulevard, 18b Arts District, Las Vegas, Clark County, Nevada, 89104-1307, United States

    LAS VEGAS, NV 891021973

    Phone: (702) 780-7118

    Fax: (702) 671-6430

    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)

CMS reports 51 Open Payments records for all available years, with a total value of $2,417.

Total Amount is formed as General ($2,417) + Research ($0) + Ownership ($0) = $2,417.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Amgen Inc. ($373).

Total Amount

$2,417

General + Research + Ownership

Payments

51

Total payment records

General Amount

$2,417

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2010-09-07

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
I20100907000675IEndocrinologyNVTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes13364$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10130$0
83036Hemoglobin a1c level8543$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2422$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report1911$0
View full utilization report →

Insurance plans in this area (ZIP 89102)

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Provider's Procedures

KENNETH EJIKEME IZUORA (MD) performs procedures in ENDOCRINOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ENDOCRINOLOGYNV83036Hemoglobin A1C level13268

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: 4183991458View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm KENNETH EJIKEME IZUORA (MD)'s NPI?
Yes. KENNETH EJIKEME IZUORA (MD) is listed with NPI 1023167525 in the public NPI dataset.
Does CMS list KENNETH EJIKEME IZUORA (MD) as active?
Yes — KENNETH EJIKEME IZUORA (MD) is active in the NPI listing used on this page.
What is KENNETH EJIKEME IZUORA (MD)'s specialty?
The listing groups KENNETH EJIKEME IZUORA (MD) with Endocrinology, Diabetes & Metabolism Physician. Clinical services aligned with this taxonomy classification.
What area does KENNETH EJIKEME IZUORA (MD) serve?
KENNETH EJIKEME IZUORA (MD)'s listing highlights Las Vegas, Nevada; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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